# CANTERBURY AT CEDAR GROVE CARE & REHABILITATION CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedar Grove Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407852833
- **Authorized official:** MRS. DEBORAH CONDORELLI (VP FINCANCE AND CENSUS DEVELOPEMENT)
- **Authorized official phone:** (201) 767-0100

## Contact information

- **Practice address:** 398 POMPTON AVE, CEDAR GROVE, NJ 07009-1813
- **Practice address phone:** (973) 239-7600
- **Practice address fax:** (973) 239-8725
- **Mailing address:** 100 MCCLELLEN ST, NORWOOD, NJ 07648-1555
- **Mailing address phone:** (201) 767-0100
- **Mailing address fax:** (201) 881-1191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060729 | NJ | Yes |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 03/17/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8864501 | — | NJ |