MCCLATCHY AVONDALE CORPORATION (NPI# 1013902667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013902667 |
| Entity Type | Organization |
| Organization Name | MCCLATCHY AVONDALE CORPORATION |
| Other Organization Name | BRYN MAWR TERRACE CONVALSCENT CENTER |
| Practice Address |
773 E Haverford Rd Bryn Mawr PA 19010-3837 |
| Practice Telephone | 6105258300 |
| Practice Fax Number | 6105190796 |
| Mailing Telephone | 6105258300 |
| Mailing Fax Number | 6105190796 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2008-01-18 |
| Authorized Official Name | MR. MICHAEL MCCLATCHY (ADMINISTRATOR) |
| Authorized Official Telephone | 6105258300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 123050 | PA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 023402 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA USHC | 0116091 | 01 |
| PA | MEDICARE | 395095 | 01 |
| PA | IBC | 0005902000 | 01 |
| Other Name | Type Code |
|---|---|
| Bryn Mawr Terrace Convalscent Center | Doing Business As Name - Organization |
| Street Address |
773 E HAVERFORD RD |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010-3837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785324 | Matthew Dannunzio | Physical Therapy Assistant | 773 E Haverford Rd, Bryn Mawr, PA 19010-3837 | 2020-06-17 |
| 1720297856 | Kelly Hippert | Occupational Therapist | 773 E Haverford Rd, Bryn Mawr, PA 19010-3837 | 2007-05-22 |
| 1154536050 | Nance L Campbell-connolly | Physical Therapy Assistant | 773 E Haverford Rd, Bryn Mawr, PA 19010-3837 | 2007-05-14 |
| 1629281357 | Linda Carroll Weirich | Physical Therapist | 773 E Haverford Rd, Bryn Mawr, PA 19010-3837 | 2007-05-08 |
| 1376664839 | The Bryn Mawr Terrace | Skilled Nursing Facility | 773 E Haverford Rd, Bryn Mawr, PA 19010-3837 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| 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 |
|---|---|---|---|---|
| 1952308942 | Beaumont Retirement Services, Inc | Skilled Nursing Facility | 601 N Ithan Ave, Bryn Mawr, PA 19010-1782 | 2005-07-05 |
| 1144223520 | Chateau Senior Services, LLC | Skilled Nursing Facility | 956 E Railroad Ave, Bryn Mawr, PA 19010-3831 | 2005-05-31 |
| 1831689033 | Rosemont Care LLC | Skilled Nursing Facility | 35 Rosemont Ave, Bryn Mawr, PA 19010-2717 | 2018-05-14 |
| 1457894198 | Rosemont Care and Rehabilitation Center LLC | Skilled Nursing Facility | 35 Rosemont Ave, Bryn Mawr, PA 19010-2717 | 2016-11-29 |
| 1801195524 | Bryn Mawr Healthcare Group, LLC | Skilled Nursing Facility | 956 E Railroad Ave, Bryn Mawr, PA 19010-3831 | 2011-03-21 |
| 1376664839 | The Bryn Mawr Terrace | Skilled Nursing Facility | 773 E Haverford Rd, Bryn Mawr, PA 19010-3837 | 2007-04-03 |
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| 1205456704 | Embassy Sharon, LLC | Skilled Nursing Facility | 959 E. State Street, Sharon, PA 16146 | 2020-04-24 |
| 1952940785 | Newport Meadows Health and Rehabilitation Center LLC | Skilled Nursing Facility | 41 Newport Avenue, Christina, PA 17509-1305 | 2019-12-26 |
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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.