GREEN HILL INC NPI 1528061868

NPI Information

  • NPI: 1528061868
  • Provider Name: GREEN HILL INC
  • Classification: Skilled Nursing Facility - 314000000X
  • Entity Type: Organization
  • CLIA Number: 31D2201357
  • Address: 103 PLEASANT VALLEY WAY
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (973) 731-2300

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NPI Details

GREEN HILL INC is a skilled nursing facility in West Orange, NJ. The provider is (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. GREEN HILL INC NPI is 1528061868. The provider is registered as an organization entity type.

The provider's business location address is:

103 PLEASANT VALLEY WAY
WEST ORANGE, NJ
ZIP 07052-905
Phone: (973) 731-2300
Fax: (973) 325-6009

The provider's authorized official is Toni Lynn Davis .
The authorized official title is Executive Director - President and has the following contact phone number (973) 731-2300.

The CLIA number assigned to this NPI record is 31D2201357 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 10/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility30C001NEW JERSEYNo
2314000000XSkilled Nursing Facility030707NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10754MEDICAIDNEW JERSEY
2315416MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYMEDICARE PROVIDER NUMBER
375270MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYBCBS OF TENN PROVIDER #
40015458MEDICAIDNEW JERSEY
54476905MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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