OrganizationActive
Fs Leisure Park Tenant Trust
NPI 1861560187 · Skilled Nursing Facility · Lakewood, NJ
Provider details
- NPI number
- 1861560187
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Fs Leisure Park Tenant Trust
- Organization subpart
- Yes
- Authorized official
- Katherine Potter, President & Chief Executive Officer(617) 796-8387
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1400 Highway 70
Lakewood, NJ 08701-5949
Phone: (732) 370-0444
Fax: (732) 370-1783
Approximate (ZIP-level) locationGet directions
Mailing address
1400 Highway 70
Lakewood, NJ 08701-5949
Other names (DBA / former)
- Doing business as
- Leisure Park Health Center
- Doing business as
- Leisure Park Health Center
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2019-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.