SUNDANCE REHABILITATION (NPI# 1104160662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104160662 |
| Entity Type | Organization |
| Organization Name | SUNDANCE REHABILITATION |
| Practice Address |
520 Kerr Ave Denton MD 21629-1343 |
| Mailing Address |
200 Northpointe Cir Ste 302 Seven Fields PA 16046-7861 |
| Practice Telephone | 4104792130 |
| Practice Fax Number | 4104793057 |
| Mailing Telephone | 8008158577 |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |
| Authorized Official Name | MISS SUSAN P JORDAN (PHYSICAL THERAPIST ASSISTANT) |
| Authorized Official Telephone | 4104792130 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | A3417 | MD | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932375763 | Sundance Rehabilitation | Assisted Living Facility | 1305 Northeast Main Street, Vidalia, GA 30475 | 2008-05-01 |
| 1962776443 | Sundance Rehabilitation | Residential Treatment Facility, Physical Disabilities | 7300 Woodspoint Drive, Florence, KY 41042 | 2012-03-01 |
| 1831468792 | Sundance Rehabilitation | Assisted Living Facility | 110 Edgeworth Rd, Newnan, GA 30263-6916 | 2011-12-22 |
| 1730498569 | Sundance Rehabilitation | Skilled Nursing Facility | 6700 E 45th St N, Bel Aire, KS 67226 | 2010-09-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SunDance Rehabilitation Agency LLC | 101 E State Streeet, Kennett Square, Pennsylvania 19348 |
| Washington State Corporations | SUNDANCE REHABILITATION AGENCY, INC. | 101 Sun Ave Ne, Albuquerque, NM 87109 |
| Massachusetts Corporations | SUNDANCE REHABILITATION AGENCY, INC. | 101 E. State Street, Kennett Square, PA 19348 |
| Connecticut Business Registrations | SUNDANCE REHABILITATION AGENCY, INC. | 101 East State Street, Kennett Square, PA 19348 |
| Oklahoma Business Registrations | SUNDANCE REHABILITATION AGENCY, INC. | 101 Sun Ave Ne, Albuquerque, NM 87109 |
| Washington State Corporations | SUNDANCE REHABILITATION AGENCY, LLC | 300 Deschutes Way Sw #304, Olympia, WA 98501 |
| Virginia Business Entities | SUNDANCE REHABILITATION CORPORATION | 101 East State Street, Kennett Square, Pennsylvania 19348 |
| Oregon Corporations, Companies and Business Names | SUNDANCE REHABILITATION CORPORATION | 101 East State Street, Kennett Square, PA 19348 |
| Vermont Business Registrations | SUNDANCE REHABILITATION CORPORATION | 101 Sun Ave Ne, Albuquerque, NM 87109 |
| Oklahoma Business Registrations | SUNDANCE REHABILITATION CORPORATION | 5131 Masthead Ne, Albuquerque, NM 87109 |
| Street Address |
520 KERR AVE |
| City | DENTON |
| State | MD |
| Zip Code | 21629-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821080805 | Caroline Nursing Home, Inc | Skilled Nursing Facility | 520 Kerr Ave, Denton, MD 21629-1343 | 2005-08-17 |
| 1932757911 | Axis Health At Caroline Opco LLC | Skilled Nursing Facility | 520 Kerr Ave, Denton, MD 21629-1343 | 2019-09-03 |
| 1487049987 | Caroline Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 520 Kerr Ave, Denton, MD 21629-1343 | 2015-04-01 |
| 1558786533 | Christine Daubach | Physical Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2014-02-27 |
| 1760810170 | Paula Wilhelm | Physical Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2013-10-22 |
| 1497090369 | Susan P Jordan | Physical Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2012-12-04 |
| 1578808762 | Robin Marie Strom-mackey | Occupational Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2012-11-29 |
| 1346585668 | Rajeweni Kumar Govindu | Occupational Therapist | 520 Kerr Ave, Denton, MD 21629-1343 | 2012-11-28 |
| 1376669143 | Victoria D Jones | Physical Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2007-03-22 |
| 1255457040 | Joan Louise Adams | Occupational Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2007-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423060 | Marilyn Serino | Social Worker | 207 South 7th Street, Denton, MD 21629 | 2019-02-20 |
| 1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
| 1487136404 | Thomas J. Yoder | Physical Therapist | 103 South 7th Street, Denton, MD 21629 | 2018-09-06 |
| 1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
| 1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
| 1598219156 | Deanna Mcmullen | Physical Therapist | 1140 Blades Farm Rd Ste 201, Denton, MD 21629 | 2016-08-11 |
| 1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
| 1104147586 | Kimberly Schall | Physical Therapist | 103 S. 7th Steet, Denton, MD 21629 | 2010-06-19 |
| 1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
| 1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
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| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376168724 | Corinth Investor Holdings LLC | Rehabilitation Unit | 2813 S Mayhill Rd, Denton, TX 76208-5910 | 2020-06-11 |
| 1447331418 | Denton Rehabilitation Hospital Lp | Rehabilitation Unit | 2809 S Mayhill Rd, Denton, TX 76208-5910 | 2006-10-18 |
| 1952355919 | Columbia Medical Center of Denton Subsidiary Lp | Rehabilitation Unit | 3535 S I-35 E, Denton, TX 76210-6850 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376879312 | Steven A. Rosenberg | Rehabilitation Unit | 10104 Iron Gate Rd, Potomac, MD 20854-4728 | 2009-10-27 |
| 1578697629 | Upper Chesapeake Health Rehabilitation Services, LLC | Rehabilitation Unit | 615 W Macphail Rd Ste 210, Bel Air, MD 21014-4469 | 2007-03-14 |
| 1942863097 | Community Health Education and Research Corporation | Rehabilitation Unit | 8101 Sandy Spring Rd, Ste 300e6, 300w31, Laurel, MD 20707-3596 | 2019-04-15 |
| 1467923391 | Collingswood Operator LLC | Rehabilitation Unit | 299 Hurley Ave, Rockville, MD 20850-3118 | 2018-12-17 |
| 1366911802 | Winners' Choice Healthcare Services, LLC | Rehabilitation Unit | 28 N Philadelphia Blvd, Aberdeen, MD 21001-2511 | 2018-11-14 |
| 1013400258 | Meadow Park Operator LLC | Rehabilitation Unit | 1525 N Rolling Rd, Catonsville, MD 21228-1100 | 2018-06-12 |
| 1295228435 | Orchard Hill Operator LLC | Rehabilitation Unit | 111 West Rd, Towson, MD 21204-2315 | 2018-06-12 |
| 1245695345 | Ramani Nokku Md PC | Rehabilitation Unit | 612 Oak Knoll Ter, Rockville, MD 20850-7805 | 2015-12-16 |
| 1891046934 | Rehabneeds | Rehabilitation Unit | 14411 Bubbling Spring Rd, Boyds, MD 20841-4304 | 2012-09-28 |
| 1639475809 | Loch Raven Clc | Rehabilitation Unit | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2011-02-04 |
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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.