EASTGATE MANOR


Address: 2119 E National Hwy, Washington, IN 47501-4507
Phone: 8122543301

EASTGATE MANOR (NPI# 1003162512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003162512
Entity Type Organization
Organization Name EASTGATE MANOR
Practice Address 2119 E National Hwy
Washington
IN 47501-4507
Practice Telephone 8122543301
Practice Fax Number 8122570039
Mailing Telephone 8122543301
Mailing Fax Number 8122570039
Enumeration Date 2012-08-02
Last Update Date 2012-08-02
Authorized Official Name MS. SABRINA MARIE JOHNSON (FACILITY REHAB COORDINATOR)
Authorized Official Telephone 8122543301
Authorized Official Credential PTA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 46002337A IN Nursing & Custodial Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities EASTGATE MANOR NURSING AND REHABILITATION CENTER 2119 E National Hwy, Washington, IN 47501-4507

Office Location

Street Address 2119 E NATIONAL HWY
City WASHINGTON
State IN
Zip Code 47501-4507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871666982 Extendicare Homes, Inc. Skilled Nursing Facility 2119 E National Hwy, Washington, IN 47501-4507 2006-11-16
1952791121 Kyla Gehlhausen Occupational Therapist 2119 E National Hwy, Washington, IN 47501-4507 2015-01-27
1427478940 Deborah Hershberger Physical Therapy Assistant 2119 E National Hwy, Washington, IN 47501-4507 2014-04-23
1093061814 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 2119 E National Hwy, Washington, IN 47501 2012-07-30
1710265202 Irina Krivoruchko Speech-Language Pathologist 2119 E National Hwy, Washington, IN 47501-4507 2011-08-01
1770879561 Emily C Burton Physical Therapy Assistant 2119 E National Hwy, Washington, IN 47501-4507 2011-06-21
1134429079 Angela Kathleen Ochs Occupational Therapy Assistant 2119 E National Hwy, Washington, IN 47501-4507 2010-10-26
1003125139 Michele Diane Deitz Physical Therapy Assistant 2119 E National Hwy, Washington, IN 47501-4507 2010-10-07
1447569124 Michelle Lynn Helms Speech-Language Pathologist 2119 E National Hwy, Washington, IN 47501-4507 2010-09-29
1164747788 Emily Kluesner Speech-Language Pathologist 2119 E National Hwy, Washington, IN 47501-4507 2010-04-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326647249 Williams Bros. Health Care Pharmacy, Inc Pharmacy 1998 State St, Washington, IN 47501 2020-10-21
1679939078 Emily Walker Registered Nurse 100 Tharp Street Suite B, Washington, IN 47501 2016-01-14
1104134360 Amanda Erin Davis Occupational Therapist 801 S. Sr 57, Washington, IN 47501 2010-09-21
1891015624 Wanda Mae Bullock Physical Therapy Assistant Troy Road, Washington, IN 47501 2010-06-03
1912149253 Back In Motion Therapy, PC Clinic/Center 1764 Troy Rd., Washington, IN 47501 2009-04-01
1255510293 Marlo Dale Chilman Physical Therapist 501 E Nat Hwy, Suite B, Washington, IN 47501 2007-10-26
1598952814 Assisted Living Concepts Inc Assisted Living Facility 297 S 100 E, Washington, IN 47501 2007-10-01
1467642983 Urology Specialists PC Urology 1912 East National Highway, Washington, IN 47501 2007-07-31
1902006141 Emily J Hansen Physical Therapy Assistant 801 South Sr 57, Washington, IN 47501 2007-07-24
1033318001 Melanie Carol Hunter Physical Therapist 2119 E. National Highway, Washington, IN 47501 2007-07-11
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841688298 Daviess County Hospital Skilled Nursing Facility 1694 Troy Rd, Washington, IN 47501-8211 2015-01-07
1891124103 Jamie Lilley Skilled Nursing Facility 1734 John Small Ave, Washington, NC 27889-7387 2013-11-06
1396010781 Supplemental Health Care Skilled Nursing Facility 1759 W 5th St, Washington, NC 27889-4003 2012-03-19
1558657114 Kyle Lee Decker Skilled Nursing Facility 504 E Telegraph St Unit 81, Washington, UT 84780-8851 2011-06-22
1063710812 Eban Health Services Inc Skilled Nursing Facility 3502 18th St.. Ne, Suite 1, Washington, DC 20018 2011-03-03
1619136025 Peoplefirst Skilled Nursing Facility 250 Lovers Lane, Washington, NC 27889 2008-06-02
1093983827 Rock Creek Nursing Center Inc Skilled Nursing Facility 2131 O St Nw, Washington, DC 20037-1008 2008-02-14
1275713463 The Medilodge Group, Inc. Skilled Nursing Facility 64500 Van Dyke Rd, Washington, MI 48095-2583 2007-11-06
1962559104 Stoddard Baptist Home Skilled Nursing Facility 1818 Newton St Nw, Washington, DC 20010-1017 2007-01-03
1316005069 Jb Johnson Nursing Center Skilled Nursing Facility 901 1st St Nw, Washington, DC 20001-1403 2006-12-05
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Competitor

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City WASHINGTON
Zip Code 47501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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