Healthcare Provider Details

I. General information

NPI: 1376533554
Provider Name (Legal Business Name): LUTHERAN SOCIAL MINISTRIES AT CRANE'S MILL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

459 PASSAIC AVE
WEST CALDWELL NJ
07006-7457
US

IV. Provider business mailing address

3 MANHATTAN DR
BURLINGTON NJ
08016-4119
US

V. Phone/Fax

Practice location:
  • Phone: 973-276-6700
  • Fax: 973-276-3003
Mailing address:
  • Phone: 609-781-1379
  • Fax: 609-386-2305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number306300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number30A005
License Number StateNJ

VIII. Authorized Official

Name: JEANNINE RICHMAN
Title or Position: CFO
Credential:
Phone: 609-781-1379