BROOKLINE AT MIFFLINTOWN INC (NPI# 1043268543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043268543 |
Entity Type | Organization |
Organization Name | BROOKLINE AT MIFFLINTOWN INC |
Other Organization Name | BROOKLINE HEALTHCARE AND REHABILITATION CENTER |
Practice Address |
2 Manor Blvd Mifflintown PA 17059-8757 |
Mailing Address |
8796 Route 219 Brockway PA 15824-6010 |
Practice Telephone | 7174362178 |
Enumeration Date | 2006-05-05 |
Last Update Date | 2020-08-25 |
Authorized Official Name | MICHAEL EPERESI (CFO) |
Authorized Official Telephone | 8142651164 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 314000000X | Skilled Nursing Facility | 022902 | PA | Nursing & Custodial Care Facilities |
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 001701388-0001 | 05 |
Other Name | Type Code |
---|---|
Brookline Healthcare and Rehabilitation Center | Doing Business As Name - Organization |
Street Address |
2 MANOR BLVD |
City | MIFFLINTOWN |
State | PA |
Zip Code | 17059-8757 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528565041 | Stephen Michael Bowers | Occupational Therapy Assistant | 2 Manor Blvd, Mifflintown, PA 17059-8757 | 2018-04-11 |
1588076442 | Rachel Lynn Partner | Occupational Therapist | 2 Manor Blvd, Mifflintown, PA 17059-8757 | 2014-05-27 |
1457785420 | Jena R Dietz | Speech-Language Pathologist | 2 Manor Blvd, Brookline Manor, Mifflintown, PA 17059-8757 | 2013-08-27 |
1780017178 | Chelsea L Mensch | Speech-Language Pathologist | 2 Manor Blvd, Mifflintown, PA 17059-8757 | 2013-08-20 |
1134468507 | Sarah E Assalone | Occupational Therapist | 2 Manor Blvd, Mifflintown, PA 17059-8757 | 2013-02-05 |
1679841050 | William Dane Henry | Physical Therapy Assistant | 2 Manor Blvd, Mifflintown, PA 17059-8757 | 2011-12-13 |
1972872307 | Carol Jean Armstrong | Physical Therapy Assistant | 2 Manor Blvd, Mifflintown, PA 17059-8757 | 2011-12-13 |
1134423395 | Diane Marie Smooke | Occupational Therapist | 2 Manor Blvd, Mifflintown, PA 17059-8757 | 2011-01-03 |
1639472293 | Traci Marie Brubaker | Physical Therapist | 2 Manor Blvd, Mifflintown, PA 17059-8757 | 2010-12-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932678190 | Stephanie Nicole Schlegel | Pharmacist | 4521 William Penn Highway, Mifflintown, PA 17059 | 2018-11-17 |
1679987325 | Anita Lynne Groover-smith | Specialist/Technologist | 3931 William Penn Highway, Juniata High School, Mifflintown, PA 17059 | 2014-06-19 |
1114156817 | William Andrew Galbraith | Behavioral Analyst | 198 Vincent St., Mifflintown, PA 17059 | 2009-07-02 |
1427274091 | Juniata County School District | Local Education Agency (LEA) | South 7th St., Hc 63 Box 7d, Mifflintown, PA 17059 | 2007-04-18 |
1023123064 | Russel Alan Gobeille | Pharmacy | 27 Cjems Lane, Mifflintown, PA 17059 | 2006-08-20 |
1659304988 | Weis Markets Inc | Pharmacy | 4521 William Penn Hwy, Mifflintown, PA 17059 | 2006-07-09 |
1558897868 | Geisinger Clinic | Family Medicine | 27 Cjems Lane, Ste. 4, Mifflintown, PA 17059 | 2017-05-05 |
1609263946 | Geisinger Lewistown Hospital | Clinic/Center | 27 Cjems Lane, Mifflintown, PA 17059 | 2015-04-24 |
1902119787 | Heather Sue Pyle | Physician Assistant | 2813 Industrial Park Rd, Mifflintown, PA 17059 | 2010-07-21 |
1225065261 | David L Aldinger II | Family Medicine | 27 Cjems Lane, Ste 4, Mifflintown, PA 17059 | 2006-06-26 |
Find all providers in zip 17059 |
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. |
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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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Find all providers with the same taxonomy |
City | MIFFLINTOWN |
Zip Code | 17059 |
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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.