STONERIDGE OPERATIONS, LLC (NPI# 1104214352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104214352 |
| Entity Type | Organization |
| Organization Name | STONERIDGE OPERATIONS, LLC |
| Other Organization Name | STONERIDGE NURSING AND REHABILITATION CENTER |
| Practice Address |
4017 Franklin Street College Station AR 72053 |
| Practice Telephone | 5014901533 |
| Mailing Telephone | 5014901533 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2015-07-23 |
| Authorized Official Name | MR. ROSS PONTHIE (MANAGING MEMBER) |
| Authorized Official Telephone | 3184438167 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Stoneridge Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
4017 FRANKLIN STREET |
| City | COLLEGE STATION |
| State | AR |
| Zip Code | 72053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851440309 | Stoneridge Health and Rehab Center | Nursing Facility/Intermediate Care Facility | 4017 Franklin, College Station, AR 72053 | 2007-01-10 |
| 1932305737 | Jefferson Comprehensive Care System, Inc | Clinic/Center | 4206 Frazier Pike, College Station, AR 72053 | 2007-06-27 |
| 1073886156 | Jefferson Comprehensive Care System, Inc. | Dentist | 4206 Frazier Pike, College Station, AR 72053-0668 | 2012-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417155 | Tomi Mayer | Registered Nurse | 4030 Highway 6 S Ste 325, College Station, TX 77845-1803 | 2020-11-05 |
| 1942800529 | Remarkable Ltc Partners of Brazos Valley Lp | Hospice Care, Community Based | 1645 Greens Prairie Rd W Ste 401b-2, College Station, TX 77845-8404 | 2020-10-31 |
| 1386242527 | Ayesha Jeelani | Dentist | 915 William D Fitch Pkwy Ste 300, College Station, TX 77845-4638 | 2020-10-10 |
| 1023622651 | Doc Healthcare, P.a. | Clinic/Center | 18395 Anasazi Bluff Dr, College Station, TX 77845-6158 | 2020-09-01 |
| 1255944302 | Ojong-tabong Bate | Pharmacist | 1811 George Bush Dr E Apt 223, College Station, TX 77840-3374 | 2020-08-28 |
| 1962015370 | Shanna Lewis Dominguez | Counselor | 3322 Longmire Dr Ste 100, College Station, TX 77845-6088 | 2020-08-25 |
| 1184237760 | Joseph Ryan Dickson | Dentist | 219 Rock Prairie Rd Ste 100, College Station, TX 77845-8796 | 2020-08-25 |
| 1174132245 | Ryan Robinson | Pharmacist | 11675 Fm 2154 Rd, College Station, TX 77845-4737 | 2020-07-24 |
| 1093324139 | Stephanie Bynum | Specialist/Technologist | 503 George Bush Dr W Apt 2630, College Station, TX 77840-2979 | 2020-07-24 |
| 1720697006 | Abby Ann Horn | Specialist/Technologist | 118b Poplar St, College Station, TX 77840-1911 | 2020-07-23 |
| Find all providers in COLLEGE STATION | ||||
| 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 |
|---|---|---|---|---|
| 1780004036 | Magnified Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 1115 Anderson Street, College Station, TX 77840 | 2014-04-24 |
| 1811317167 | Fortress Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 1105 Rock Prairie Road, College Station, TX 77845-8344 | 2014-04-24 |
| 1922427350 | Palak Bhatt | Skilled Nursing Facility | 1101 Southwest Pkwy, Apt 1408, College Station, TX 77840-4874 | 2014-04-14 |
| 1124003678 | Sulik Sheridan Anderson Inc | Skilled Nursing Facility | 1115 Anderson St, College Station, TX 77840-4465 | 2005-12-07 |
| 1427033968 | Sulik Sheridan Rock Priarie Inc. | Skilled Nursing Facility | 1105 Rock Prairie Rd, College Station, TX 77845-8344 | 2005-12-07 |
| 1063054823 | College Station I Enterprises, LLC | Skilled Nursing Facility | 1105 Rock Prairie Rd, College Station, TX 77845-8344 | 2019-10-14 |
| 1215460332 | Hmg Park Manor of College Station, LLC | Skilled Nursing Facility | 1500 Medical Ave, College Station, TX 77845-7986 | 2017-04-05 |
| 1215109566 | Magnified Health & Rehab of Anderson, LLC | Skilled Nursing Facility | 1115 Anderson St, College Station, TX 77840-4465 | 2008-03-27 |
| 1396917647 | Fortress Health & Rehab of Rock Prairie, LLC | Skilled Nursing Facility | 1105 Rock Prairie Rd, College Station, TX 77845-8344 | 2008-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558904979 | Ola Ops, Inc. | Skilled Nursing Facility | 502 W Pennington St, Ola, AR 72853-8851 | 2019-10-18 |
| 1831746676 | Cwnc Ops Inc | Skilled Nursing Facility | 1393 E Don Tyson Pkwy, Springdale, AR 72764-7882 | 2019-08-26 |
| 1881256493 | Bayshore, LLC | Skilled Nursing Facility | 260 Lakepark Dr, Hot Springs, AR 71901-9260 | 2019-07-03 |
| 1508322249 | Superior Health & Rehab LLC | Skilled Nursing Facility | 625 Tommy Lewis Dr, Conway, AR 72032-7006 | 2019-02-19 |
| 1447733480 | Chc Lakeside Nursing Center, LLC | Skilled Nursing Facility | 1207 Willow Run St, Lake City, AR 72437-9520 | 2018-09-14 |
| 1811470784 | Ltc of Berryville, LLC | Skilled Nursing Facility | 500 Hammond Avenue, Berryville, AR 72616 | 2018-09-07 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1386140341 | Three Rivers Nursing and Rehabilitation LLC | Skilled Nursing Facility | 33904 Highway 63 E, Marked Tree, AR 72365-9521 | 2018-03-30 |
| 1093244097 | Salco Nc 2, Inc. | Skilled Nursing Facility | 6420 Alcoa Rd, Benton, AR 72015-6315 | 2017-06-05 |
| 1184168072 | Dierks Healthcare & Rehabilitation Center LLC | Skilled Nursing Facility | 402 S Arkansas Ave, Dierks, AR 71833-9001 | 2016-12-12 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE STATION |
| Zip Code | 72053 |
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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.