CENTERS FOR LONG TERM CARE OF GARDNER, INC (NPI# 1063473130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063473130 |
| Entity Type | Organization |
| Organization Name | CENTERS FOR LONG TERM CARE OF GARDNER, INC |
| Other Organization Name | MEADOWBROOK REHABILITATION HOSPITAL |
| Practice Address |
427 W Main St Gardner KS 66030-1183 |
| Mailing Address |
Po Box 155635 Fort Worth TX 76155-0635 |
| Practice Telephone | 9138568747 |
| Practice Fax Number | 9138568339 |
| Mailing Telephone | 8173592000 |
| Mailing Fax Number | 8173592093 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GARY TREBERT (CEO) |
| Authorized Official Telephone | 8173592000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| X | 283X00000X | Rehabilitation Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 1040571101 | 05 | |
| KS | 0440571001 | 05 |
| Other Name | Type Code |
|---|---|
| Meadowbrook Rehabilitation Hospital | Doing Business As Name - Organization |
| Street Address |
427 W MAIN ST |
| City | GARDNER |
| State | KS |
| Zip Code | 66030-1183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972127058 | Hannah Clevenger | Speech-Language Pathologist | 427 W Main St, Gardner, KS 66030-1183 | 2020-06-03 |
| 1558983726 | Mackenzie Rae Gross | Speech-Language Pathologist | 427 W Main St, Gardner, KS 66030-1183 | 2020-05-11 |
| 1265065932 | Recover-care Meadowbrook Rehabilitation LLC | Rehabilitation Hospital | 427 W Main St, Gardner, KS 66030-1183 | 2020-02-20 |
| 1285267146 | Recover-care Meadowbrook Rehabilitation LLC | Rehabilitation Hospital | 427 W Main St, Gardner, KS 66030-1183 | 2020-02-19 |
| 1023648045 | Recover-care Meadowbrook Rehabilitation LLC | Skilled Nursing Facility | 427 W Main St, Gardner, KS 66030-1183 | 2020-01-17 |
| 1932589017 | Pinnacle Health Facilities Xviii Lp | Rehabilitation Hospital | 427 W Main St, Gardner, KS 66030-1183 | 2015-06-04 |
| 1356680565 | Kanohoali'i J Johnson | Physical Therapy Assistant | 427 W Main St, Gardner, KS 66030-1183 | 2013-02-07 |
| 1255697108 | Kc Rehab Doctors LLC | Physical Medicine & Rehabilitation | 427 W Main St, Gardner, KS 66030-1183 | 2012-04-04 |
| 1720319023 | Meihsien Wang | Nurse Practitioner | 427 W Main St, Gardner, KS 66030-1183 | 2010-01-26 |
| 1699944371 | Toni Rose Cruz Capule | Physical Therapist | 427 W Main St, Gardner, KS 66030-1183 | 2008-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053340 | Arismun Bobby Rattanapon | Student in an Organized Health Care Education/Training Program | 320 W Westhoff Pl, Gardner, KS 66030 | 2018-11-27 |
| 1790273282 | Amy Michelle Bokelman | Pharmacist | 1725 E Sante Fe St, Gardner, KS 66030 | 2018-04-30 |
| 1720450422 | Sheila Mcniff | Pharmacist | 1725 East Santa Fe Street, Gardner, KS 66030 | 2015-10-21 |
| 1609061795 | Cook Family Chiropractic Inc. | Chiropractor | 969 E. Lincoln Ln., Gardner, KS 66030 | 2007-09-11 |
| 1306057716 | Paul D. Mabe, Dds, Chartered | Dentist | 971 E. Lincoln Ln., Gardner, KS 66030 | 2007-05-25 |
| 1396954483 | Brian Todd Cook | Chiropractor | 969 E. Lincoln Lane, Gardner, KS 66030 | 2007-05-22 |
| 1619198116 | Toni Eyer | Occupational Therapy Assistant | 223 Bedford Street, Gardner, KS 66030 | 2007-05-01 |
| 1598855389 | Kristin Mary Vanbecelaere | Optometrist | 1555 E Santa Fe St, Gardner, KS 66030 | 2006-10-13 |
| 1104926997 | Wal-mart Stores, Inc. | Technician/Technologist | 1555 E. Santa Fe St., Gardner, KS 66030 | 2006-09-22 |
| 1861445561 | John L Sherard | Family Medicine | 18320 So Center St, Gardner, KS 66030 | 2006-05-17 |
| Find all providers in zip 66030 | ||||
| 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 |
|---|---|---|---|---|
| 1710995147 | Medicalodges, Inc. | Skilled Nursing Facility | 223 Bedford St, Gardner, KS 66030-1185 | 2006-08-03 |
| 1497781694 | Health Resources of Gardner, Inc. | Skilled Nursing Facility | 32 Hospital Hill Rd, Gardner, MA 01440-2302 | 2006-06-23 |
| 1558356949 | Legend Rehabilitation and Nursing Center Inc | Skilled Nursing Facility | 59 Eastwood Cir, Gardner, MA 01440-3901 | 2005-09-13 |
| 1679191126 | Wachusett Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 32 Hospital Hill Rd, Gardner, MA 01440-2302 | 2020-07-10 |
| 1023648045 | Recover-care Meadowbrook Rehabilitation LLC | Skilled Nursing Facility | 427 W Main St, Gardner, KS 66030-1183 | 2020-01-17 |
| 1588199467 | Gardner Operations LLC | Skilled Nursing Facility | 59 Eastwood Cir, Gardner, MA 01440-3901 | 2017-04-27 |
| 1699114355 | Morris Healthcare LLC | Skilled Nursing Facility | 59 Eastwood Cir, Gardner, MA 01440-3901 | 2013-06-17 |
| 1386826105 | 32 Hospital Hill Road Operations LLC | Skilled Nursing Facility | 32 Hospital Hill Rd, Gardner, MA 01440-2302 | 2007-12-04 |
| 1568537785 | Pinnacle Health Facilities Xviii Lp | Skilled Nursing Facility | 427 W Main St, Gardner, KS 66030-1183 | 2006-11-22 |
| 1568413540 | Henry Heywood Memorial Hospital | Skilled Nursing Facility | 242 Green St, Gardner, MA 01440-1336 | 2006-05-13 |
| Find all providers in GARDNER | ||||
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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.