EDEN PARK MANAGEMENT, INC. (NPI# 1073683892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073683892 |
| Entity Type | Organization |
| Organization Name | EDEN PARK MANAGEMENT, INC. |
| Other Organization Name | NURSING CARE CENTER OF BRISTOL |
| Practice Address |
61 Bellevue Ave Bristol CT 06010-5815 |
| Mailing Address |
22 Holland Ave Albany NY 12209-1713 |
| Practice Telephone | 8605891682 |
| Mailing Telephone | 5184364731 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALTON MENDLESON, JR. (PRESIDENT) |
| Authorized Official Telephone | 5184364731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 904-C | CT | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Nursing Care Center of Bristol | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437229283 | Eden Park Management, Inc. | Skilled Nursing Facility | 99 Allen St, Rutland, VT 05701-4501 | 2006-11-09 |
| 1750451571 | Eden Park Management, Inc. | Skilled Nursing Facility | 19 Poplar St, New Milford, CT 06776-2901 | 2006-11-09 |
| 1093885840 | Eden Park Management, Inc. | Skilled Nursing Facility | 187 Oak Grove Ave, Brattleboro, VT 05301-6642 | 2006-11-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Eden Park Management, Inc. | 45 Learned St., Albany, NY 12207 |
| New York State Corporations | EDEN PARK MANAGEMENT, INC. | 3553 Sw Corporate Pkwy, Palm City, Florida 34990 |
| Vermont Business Registrations | EDEN PARK MANAGEMENT, INC. | 45 Learned St, Albany, NY 12207 |
| Street Address |
61 BELLEVUE AVE |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-5815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679946784 | Jessica Cruz | Nurse Practitioner | 61 Bellevue Ave, Bristol, CT 06010-5815 | 2015-11-11 |
| 1891173092 | Kristin Carpino | Contractor | 61 Bellevue Ave, Bristol, CT 06010-5815 | 2015-05-08 |
| 1407287956 | Julie A Martin | Occupational Therapy Assistant | 61 Bellevue Ave, Bristol, CT 06010 | 2013-12-10 |
| 1396044970 | Allison D'avignon Christianson | Occupational Therapist | 61 Bellevue Ave, Bristol, CT 06010-5815 | 2011-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| 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 |
|---|---|---|---|---|
| 1164852968 | Franklin Healthcare, Inc. | Skilled Nursing Facility | 250 Belle Brook Rd, Bristol, TN 37620-5623 | 2013-11-15 |
| 1194168591 | Sheriden Woods Health Care Center, Inc. | Skilled Nursing Facility | 321 Stonecrest Dr, Bristol, CT 06010-5378 | 2013-04-16 |
| 1316153299 | Bristol Crossings LLC | Skilled Nursing Facility | 61 Bellevue Avenue, Bristol, CT 06010 | 2007-05-15 |
| 1750469003 | Silver Creek Manor, Inc | Skilled Nursing Facility | 7 Creek Ln, Bristol, RI 02809-2401 | 2006-11-02 |
| 1841383403 | Sheriden Woods Health Care Center Inc | Skilled Nursing Facility | 321 Stonecrest Drive, Bristol, CT 06010 | 2006-10-02 |
| 1235162405 | Hp Cambridge House Inc | Skilled Nursing Facility | 250 Bellebrook Road, Bristol, TN 37620-5623 | 2006-07-09 |
| 1083669832 | Nhc Healthcare-bristol LLC | Skilled Nursing Facility | 245 North St, Bristol, VA 24201-3274 | 2006-05-23 |
| 1073573317 | Bristol Cch Group, LLC | Skilled Nursing Facility | 1660 Stafford Ave, Bristol, CT 06010-2571 | 2006-03-23 |
| 1659355519 | Saint Elizabeth Manor East Bay | Skilled Nursing Facility | 1 Dawn Hill Rd, Bristol, RI 02809-3903 | 2005-12-05 |
| 1649252040 | Sun Dial Manor Inc | Skilled Nursing Facility | 410 2nd St S, Bristol, SD 57219-0337 | 2005-11-19 |
| Find all providers in BRISTOL | ||||
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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.