Health Facilities

Facility Information

Licensed Name:	Providence Pediatric Medical Daycare, Inc
Address:	411 Commerce Lane, 1st Floor, West Berlin, NJ 08091
Phone:	(866) 417-7763
Facility Type:	Pediatric Day Health Care Services
License Number:	04012
License Expires:	12/31/2022
Administrator:	CRISTA COLON

Owner/Officer Information
Licensed Owner:	PROVIDENCE PEDIATRIC MEDICAL DAYCARE, INC.
Officer(s):
	MS . LEEANNA ROMAN LOZADA

Bed/Slot Information
Pediatric Day Beds: 27

Inspection Summaries

Between 03/30/2021 AND 03/30/2026
Routine Inspection Summary            More Info
Number of Routine Inspections: 0
Number of Deficiencies Cited: 0
Maximum Scope & Severity *:

Complaint Inspection Summary           More Info
Number of Complaint Inspections: 0
Number of Deficiencies Cited: 0
Maximum Scope & Severity *:

Enforcement Action

List of Enforcement Investigations by NJDHSS and Centers for Medicare & Medicaid Services(CMS) (Medicare Certified Facilities) List of Enforcement Investigations by NJDHSS only (All facility types)

Advisory Standards

Advisory Standard Description

This information applies only to Long-Term Care facilities.

More Information

Centers for Medicare & Medicaid Services (CMS) Nursing Home Compare Nursing Home Compare is a web-based tool developed by the US Department of Health & Human Services, Centers for Medicare & Medicaid Services. This tool provides detailed information about the past performance of every Medicare and Medicaid certified nursing home in the country. NJ OPRA(Open Public Records Act)

*Scope & Severity applies only to federally certified (Medicare) nursing homes.