SHADY LANE NURSING HOME
NPI 1447384680
Skilled Nursing Facility in Clarksboro, NJ

Active since March 16, 2007CLIA 31D0974966 · Waiver
5/5
Overall Rating
256 COUNTY HOUSE RD, CLARKSBORO, NJ 08020(856) 423-5318(856) 423-3634 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shady Lane Nursing Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADY LANE NURSING HOME (NPI 1447384680) is a healthcare organization registered as a skilled nursing facility in Clarksboro, New Jersey and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Pete Scaffidi, Accountant, as its authorized official.

NPPES Registry Identity

NPI1447384680
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTY OF GLOUCESTER
Location Address256 COUNTY HOUSE RDClarksboro, NJ 08020-1395
Mailing Address254 County House RdClarksboro, NJ 08020-1395 · (856) 423-5318 · Fax (856) 423-3634
Fax(856) 423-3634
Organization SubpartNo
Authorized OfficialPete ScaffidiAccountant · (856) 423-5318
Enumeration DateMarch 16, 2007
Last NPPES UpdateJune 24, 2008
NPI 1447384680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NJ · 060805
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
256 COUNTY HOUSE RD, Clarksboro, NJ 08020

Other Names 1

Doing Business AsShady Lane Nursing Home

Other Identifiers 2

Medicaid4478703NJ
Medicare ID-Type Unspecified315405NJ

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0974966

Shady Lane Nursing Home · Clarksboro, NJ
Active · expires Jun 21, 2028
CLIA Number31D0974966
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorDiane Wright
Laboratory Phone(856) 423-0020
Laboratory LocationShady Lane Nursing HomeCounty House Road, Clarksboro, NJ 08020
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Shady Lane Gloucester Co Home (CMS certification number 315405), from CMS Care Compare.

Shady Lane Gloucester Co Home

Nursing home · Clarksboro, NJ
5/5 CMS Overall Rating
OwnershipGovernment - County
CMS Certification Number315405
Certified Beds60 beds34 residents per day on average
Medicare & Medicaid Participant SinceDecember 1, 1997
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
17.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.89 · LPN 2.07 · RN 0.48
5.43 hrs per resident per day
Weekend Nurse Staffing
4.98 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
38.3%
Registered Nurse Turnover
33.3%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
256 COUNTY HOUSE RD
CLARKSBORO, NJ 08020
Family Medicine
256 COUNTY HOUSE RD
CLARKSBORO, NJ 08020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is County Of Gloucester's NPI number?

The NPI number for County Of Gloucester is 1447384680. It was assigned to this organization in the NPPES registry on March 16, 2007. The provider is doing business as Shady Lane Nursing Home.

Where is County Of Gloucester located?

County Of Gloucester is located at 256 County House Rd, Clarksboro, NJ 08020. The listed phone number is (856) 423-5318.

What is County Of Gloucester's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does County Of Gloucester hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0974966) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is County Of Gloucester a Medicare-certified nursing home?

Yes. Shady Lane Gloucester Co Home is a Medicare-certified nursing home with 60 certified beds.

What quality rating does County Of Gloucester have?

CMS rates Shady Lane Gloucester Co Home 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does County Of Gloucester accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list County Of Gloucester as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for County Of Gloucester was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.