EASTGATE MANOR (NPI# 1003162512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 46002337A | IN | Nursing & Custodial Care Facilities |
| 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 |
| Street Address |
2119 E NATIONAL HWY |
| City | WASHINGTON |
| State | IN |
| Zip Code | 47501-4507 |
| 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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| 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 |
| Find all providers in zip 47501 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| 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 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 47501 |
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| 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.