SISTERS OF CHARITY OF ST ELIZABETH- ST ANNE VILLA — NPI 1104965086 (Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) in FLORHAM PARK, NJ)

CMS-1500 Box 24J / 33a • NPI

1104965086

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

314000000X (CMS A1[8])

Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)

Box 32 Service Location & ZIP+4

190 PARK AVE, FLORHAM PARK, NJ, 07932-1049

✓ 9-Digit EDI 837 ZIP+4 (07932-1049)

Practice Phone & Referral Fax

(973) 867-1502

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104965086 (SISTERS OF CHARITY OF ST ELIZABETH- ST ANNE VILLA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1104965086` (NPI-2 Organization / Facility)
Provider / Legal Name	SISTERS OF CHARITY OF ST ELIZABETH- ST ANNE VILLA
Plain-English Specialty	Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) NUCC Code: `314000000X` (Skilled Nursing Facility)
Certifying / Licensing Body	CMS Five-Star Quality Rating System / State Department of Health
Practice Location Address	190 PARK AVE, FLORHAM PARK, NJ, 07932-1049
Practice Telephone / Fax	Tel: (973) 867-1502
Administrative Mailing Address	PO BOX 476, CONVENT STATION, NJ, 07961-0476
Enumeration & Last Sync	Enumerated: 2007-02-06 \| CMS Record Updated: 2012-07-25
Authorized Official	MARION FARRELL (ADMINISTRATOR)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

190 PARK AVE, FLORHAM PARK, NJ, 07932-1049

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Plain-English Taxonomy & CMS Crosswalk (314000000X)

What Does Taxonomy Code 314000000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 314000000X translates to:
"Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A1[8] (Skilled Nursing Facility)
Certifying / Accrediting Authority: CMS Five-Star Quality Rating System / State Department of Health
Clinical Scope: Inpatient rehabilitation and 24-hour skilled nursing care following major surgery, stroke, or prolonged hospitalization.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SISTERS OF CHARITY OF ST ELIZABETH- ST ANNE VILLA)

Typical CPT / Diagnostic Procedures:

24-Hour Skilled Nursing Supervision, Enteral Nutrition & Pressure Ulcer Prevention
Post-Acute Orthopedic, Cardiac & Neurological Inpatient Rehabilitation

Common Therapeutic Classes:

Chronic Disease Maintenance Regimens, Analgesics & Thromboprophylaxis

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`314000000X` — Skilled Nursing Facility Plain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)	State: NJ \| License: `NJ 60920` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SISTERS OF CHARITY OF ST ELIZABETH- ST ANNE VILLA (NPI #1104965086)