HARBORSIDE OF OHIO LIMITED PARTNERSHIP (NPI# 1134235880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134235880 |
| Entity Type | Organization |
| Organization Name | HARBORSIDE OF OHIO LIMITED PARTNERSHIP |
| Other Organization Name | BRYAN CARE AND REHABILITATION CENTER |
| Practice Address |
1104 Wesley Ave Bryan OH 43506-2579 |
| Mailing Address |
101 Sun Ave Ne Compliance Department Albuquerque NM 87109-4373 |
| Practice Telephone | 4196365071 |
| Practice Fax Number | 4196363894 |
| Mailing Telephone | 5054685604 |
| Mailing Fax Number | 5054684681 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2009-10-01 |
| Authorized Official Name | WILLIAM A MATHIES (PRESIDENT DIRECTOR) |
| Authorized Official Telephone | 5058213355 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNBRIDGE HEALTHCARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 5130 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2411876 | 05 |
| Other Name | Type Code |
|---|---|
| Bryan Care and Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972619799 | Harborside of Ohio Limited Partnership | Skilled Nursing Facility | 395 Harding St, Defiance, OH 43512-1315 | 2006-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | HARBORSIDE OF OHIO LIMITED PARTNERSHIP | 101 E. State Street, Kennett Square, PA 19348 |
| Street Address |
1104 WESLEY AVE |
| City | BRYAN |
| State | OH |
| Zip Code | 43506-2579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922667914 | Bryan Snf, LLC | Skilled Nursing Facility | 1104 Wesley Ave, Bryan, OH 43506-2579 | 2019-06-12 |
| 1144887639 | Kendra Koester | Speech-Language Pathologist | 1104 Wesley Ave, Bryan, OH 43506-2579 | 2019-05-21 |
| 1629549043 | Katie Sue Moreland | Physical Therapy Assistant | 1104 Wesley Ave, Bryan, OH 43506-2579 | 2018-12-11 |
| 1992272983 | Rebecca Ann Powers | Occupational Therapy Assistant | 1104 Wesley Ave, Bryan, OH 43506-2579 | 2018-10-27 |
| 1578041794 | Jordan Spencer | Speech-Language Pathologist | 1104 Wesley Ave, Bryan, OH 43506-2579 | 2018-07-31 |
| 1366840811 | Genesis Eldercare Physician Services LLC | Internal Medicine | 1104 Wesley Ave, Bryan, OH 43506 | 2014-12-16 |
| 1336549013 | Jennifer Johnson | Residential Treatment Facility, Physical Disabilities | 1104 Wesley Ave, Bryan, OH 43506-2579 | 2014-08-29 |
| 1235547001 | Sara Dye | Physical Therapy Assistant | 1104 Wesley Ave, Bryan, OH 43506-2579 | 2014-07-24 |
| 1922410687 | Stephanie Nicole Allen | Nurse Practitioner | 1104 Wesley Ave, Bryan, OH 43506-2579 | 2014-05-28 |
| 1104242239 | Shauna Wright | Occupational Therapy Assistant | 1104 Wesley Ave, Bryan, OH 43506-2579 | 2014-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750883203 | Jennifer Spangler | Massage Therapist | 228 S. Main St., Bryan, OH 43506 | 2018-03-01 |
| 1922547215 | Alissa Niswonger | Specialist/Technologist | 106 Avenue B, Bryan, OH 43506 | 2017-02-20 |
| 1902140320 | Marcia Jean Slabaugh | Physical Therapy Assistant | 5299 County Road 1575, Bryan, OH 43506 | 2012-11-26 |
| 1215086640 | Filling Memorial Home Cardinal | Intermediate Care Facility, Mentally Retarded | 1211 Cardinal Drive, Bryan, OH 43506 | 2007-01-08 |
| 1396855714 | Williams County Transport | Ambulance | 05842 St Rt 15, Bryan, OH 43506 | 2006-08-30 |
| 1982635603 | Americare Health Services LLC | Durable Medical Equipment & Medical Supplies | 121 E South St, Bryan, OH 43506 | 2006-07-05 |
| 1174561963 | Richard U Baldwin | Emergency Medicine | 433 W. High St., Bryan, OH 43506 | 2006-06-03 |
| 1073595757 | Thomas A. Losey | Family Medicine | 442 West High Street, Midwest Community Health Associates, Bryan, OH 43506 | 2005-11-17 |
| 1841298296 | Claire Laree Osborn | Family Medicine | Activate Healthcare/500 W Mulberry St., Suite 101, Bryan, OH 43506 | 2005-07-11 |
| 1225519762 | Fountain City Chiropractic & Rehabilitation, Inc | Chiropractor | 1525 W High St, Ste A, Bryan, OH 43506 | 2018-08-23 |
| Find all providers in zip 43506 | ||||
| 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 |
|---|---|---|---|---|
| 1285140798 | Stonebridge Place of Bryan LLC | Skilled Nursing Facility | 2817 Kent St, Bryan, TX 77802-5214 | 2017-12-19 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| 1841509015 | Bryan Snf, LLC | Skilled Nursing Facility | 4091 Eastchester Dr, Bryan, TX 77802-4732 | 2010-10-05 |
| 1144265901 | Williams County Office of Auditor | Skilled Nursing Facility | 9876 County Road 16, Bryan, OH 43506-9781 | 2006-06-17 |
| 1275518722 | Sulik Sheridan Bryan Inc | Skilled Nursing Facility | 2001 E 29th St, Bryan, TX 77802-1954 | 2005-12-07 |
| 1831183912 | Sherwood Health Care Inc | Skilled Nursing Facility | 1401 Memorial Dr, Bryan, TX 77802-5218 | 2005-09-06 |
| 1578563342 | Mrc Crestview | Skilled Nursing Facility | 2505 E. Villa Maria Road, Bryan, TX 77802-2038 | 2005-07-22 |
| 1295377067 | College Station II Enterprises, LLC | Skilled Nursing Facility | 2001 E 29th St, Bryan, TX 77802-1954 | 2019-10-14 |
| 1922667914 | Bryan Snf, LLC | Skilled Nursing Facility | 1104 Wesley Ave, Bryan, OH 43506-2579 | 2019-06-12 |
| 1215404330 | Bryan Opco LLC | Skilled Nursing Facility | 2817 Kent St, Bryan, TX 77802-5214 | 2018-10-26 |
| Find all providers in BRYAN | ||||
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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.