HCF OF SWEDEN VALLEY, INC. (NPI# 1083628085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083628085 |
| Entity Type | Organization |
| Organization Name | HCF OF SWEDEN VALLEY, INC. |
| Other Organization Name | SWEDEN VALLEY MANOR |
| Practice Address |
1028 E 2nd St Coudersport PA 16915-8306 |
| Practice Telephone | 8142747610 |
| Practice Fax Number | 8142748010 |
| Mailing Telephone | 8142747610 |
| Mailing Fax Number | 8142748010 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2012-10-16 |
| Authorized Official Name | MR. RYAN STECHSCHULTE (DIRECTOR - CORPORATE COMPLIANCE) |
| Authorized Official Telephone | 4199992010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 455402 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0019252000001 | 05 | |
| NY | 00926325 | 05 | |
| PA | SECURITY BLUE | 0052 | 01 |
| PA | ADVANTRA | 305047 | 01 |
| PA | THREE RIVERS/UNISON | 000000099832 | 01 |
| Other Name | Type Code |
|---|---|
| Sweden Valley Manor | Doing Business As Name - Organization |
| Street Address |
1028 E 2ND ST |
| City | COUDERSPORT |
| State | PA |
| Zip Code | 16915-8306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215564760 | Jennifer Rosmus | Occupational Therapist | 1028 E 2nd St, Coudersport, PA 16915-8306 | 2020-03-25 |
| 1730545062 | Leah M Blendinger | Occupational Therapy Assistant | 1028 E 2nd St, Coudersport, PA 16915-8306 | 2015-12-31 |
| 1477918795 | Dennis Albert Larkin Jr. | Physical Therapy Assistant | 1028 E 2nd St, Coudersport, PA 16915-8306 | 2015-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134396930 | Carla J Muirhead | Registered Nurse | 1001 East 2nd Street, Coudersport, PA 16915 | 2008-05-12 |
| 1396926374 | Jeremy T Reed | Otolaryngology | 1001 E 2nd St Ste C, Coudersport, PA 16915 | 2007-11-19 |
| 1437274768 | Lynn Meredith Cornish | Dentist | 303 E Maple Street, Coudersport, PA 16915 | 2007-03-19 |
| 1508911736 | William T Kelley | Emergency Medicine | 1000 East 2nd Street, Coudersport, PA 16915 | 2007-01-25 |
| 1568569168 | Peter C Ryan | Dentist | 438 East Second St, Coudersport, PA 16915 | 2006-09-19 |
| 1538193248 | Eagle Emergency Physicians LLC | Emergency Medicine | 1000 E Second St, Emergency Department, Coudersport, PA 16915 | 2006-07-10 |
| 1245294875 | Victor Douglas Brown | Dentist | 6 Niles Hill Road, Coudersport, PA 16915 | 2006-04-12 |
| 1316312234 | Cody William Greene | Physical Therapist | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| 1770958696 | Rosanne Marie Pesock | Occupational Therapy Assistant | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| 1043685977 | Trisha Marie Bauer | Occupational Therapy Assistant | 1028 E. Second Street, Coudersport, PA 16915 | 2015-12-03 |
| Find all providers in zip 16915 | ||||
| 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 |
|---|---|---|---|---|
| 1992729305 | Charles Cole Memorial Hospital | Skilled Nursing Facility | 1001 E 2nd St, Coudersport, PA 16915-8161 | 2006-07-27 |
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| Find all providers with the same taxonomy | ||||
| City | COUDERSPORT |
| Zip Code | 16915 |
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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.