PARK PLEASANT, INC (NPI# 1063498160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063498160 |
| Entity Type | Organization |
| Organization Name | PARK PLEASANT, INC |
| Practice Address |
4712 Chester Ave Philadelphia PA 19143-3513 |
| Practice Telephone | 2157274450 |
| Practice Fax Number | 2157246596 |
| Mailing Telephone | 2157274450 |
| Mailing Fax Number | 2157246596 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2008-11-12 |
| Authorized Official Name | NANCY JUDITH KLEINBERG (OWNER) |
| Authorized Official Telephone | 2157274450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 420302 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0007576000003 | 05 |
| Street Address |
4712 CHESTER AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19143-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350486 | Richard Mohammed | Nurse Practitioner | 4712 Chester Ave, Philadelphia, PA 19143-3513 | 2020-06-12 |
| 1215495684 | Paige Kenney | Occupational Therapy Assistant | 4712 Chester Ave, Philadelphia, PA 19143-3513 | 2019-03-05 |
| 1346725058 | Leigh Anne Barone | Occupational Therapist | 4712 Chester Ave, Philadelphia, PA 19143-3513 | 2018-09-27 |
| 1043795065 | Meghan Grace O'malley | Speech-Language Pathologist | 4712 Chester Ave, Philadelphia, PA 19143-3513 | 2018-09-25 |
| 1588148688 | Katherine C De La Cruz | Physical Therapist | 4712 Chester Ave, Philadelphia, PA 19143-3513 | 2018-09-24 |
| 1356831812 | Michael Broadbent | Occupational Therapist | 4712 Chester Ave, Philadelphia, PA 19143-3513 | 2018-05-10 |
| 1063909141 | Paula Rubin-cole | Physical Therapist | 4712 Chester Ave, Philadelphia, PA 19143-3513 | 2018-04-15 |
| 1508364837 | Thomas Sweriduk | Speech-Language Pathologist | 4712 Chester Ave, Philadelphia, PA 19143-3513 | 2018-02-01 |
| 1932608262 | Alexandra Campbell | Occupational Therapist | 4712 Chester Ave, Philadelphia, PA 19143-3513 | 2018-02-01 |
| 1427302280 | Renaissance Healthcare & Rehabilitation Center LLC | Skilled Nursing Facility | 4712 Chester Ave, Philadelphia, PA 19143-3513 | 2012-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554142 | Trusted Hands Care Professionals LLC | In Home Supportive Care | 1130 South Paxon Street, Philadelphia, PA 19143 | 2020-06-26 |
| 1477189140 | Kareemah Anjail Abdullah | Counselor | 5307 Chelen Ave, Philadelphia, PA 19143 | 2020-03-13 |
| 1336604024 | Mohamed Keita | Non-emergency Medical Transport (VAN) | 5030 Warrington Avenue, Philadelphia, PA 19143 | 2019-02-06 |
| 1366924011 | Whitney Tamika Carter | Specialist/Technologist | 5526 Ridgewood St, Philadelphia, PA 19143 | 2018-08-29 |
| 1639662190 | Mattew Muchnick | Physical Therapist | 4730 Hazel Ave 2r, Philadelphia, PA 19143 | 2018-06-10 |
| 1750883062 | Optimal Support for Everyday Lives | Case Management | 5800 Springfield Avenue, Philadelphia, PA 19143 | 2018-03-02 |
| 1205352671 | New Visions Case Management & Consulting, LLC | Social Worker | 726 S 55th Street, Philadelphia, PA 19143 | 2017-08-17 |
| 1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
| 1093238388 | Blessed Hands Home Care Agency L.L.C. | Home Health | 433 S. 57th Street, Phila, PA 19143 | 2017-07-19 |
| 1891216529 | Ashley Seiver | Occupational Therapist | 923 S. 46th Street, Philadelphia, PA 19143 | 2017-07-03 |
| Find all providers in zip 19143 | ||||
| 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 |
|---|---|---|---|---|
| 1376080283 | Tulip Special Care, LLC | Skilled Nursing Facility | 3300 Henry Ave Ste 700, Philadelphia, PA 19129-1121 | 2017-01-30 |
| 1952719148 | 2509 South Fourth Operating, LLC | Skilled Nursing Facility | 2509 S. 4th Streert, Philadelphia, PA 19148-4712 | 2014-07-31 |
| 1609167154 | Kearsley Operator Lp | Skilled Nursing Facility | 2100 North 49th St, Philadelphia, PA 19131-2698 | 2011-05-02 |
| 1063742708 | Rc Operators, LLC (d.b.a. Willow Terrace) | Skilled Nursing Facility | One Penn Boulevard, Penn Tower, Philadelphia, PA 19144-4206 | 2009-12-31 |
| 1740419159 | Therapists On Demand, Inc | Skilled Nursing Facility | 215 Church St Ste 3, Philadelphia, PA 19106-4518 | 2009-07-07 |
| 1588708655 | The 58th Street Presbyterian Homes | Skilled Nursing Facility | 2050 S 58th St, Philadelphia, PA 19143-5932 | 2007-02-20 |
| 1023168283 | Bala Nursing & Ret Cntr Ltd Ptrshp Ford Rd Corp | Skilled Nursing Facility | 4001 Ford Rd, Philadelphia, PA 19131-2833 | 2007-01-11 |
| 1841308061 | Kearsley Long Term Care | Skilled Nursing Facility | 2100 N 49th St, Philadelphia, PA 19131-2633 | 2006-08-28 |
| 1326156555 | Care Pavilion Inc | Skilled Nursing Facility | 6212 Walnut St, Philadelphia, PA 19139-3706 | 2006-08-28 |
| 1205944402 | Cliveden- Maplewood Convalescent Center Inc | Skilled Nursing Facility | 6400 Greene St, Philadelphia, PA 19119-3231 | 2006-08-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19143 |
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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.