VILLA MARY IMMACULATE (NPI# 1144215625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144215625 |
| Entity Type | Organization |
| Organization Name | VILLA MARY IMMACULATE |
| Other Organization Name | ST. PETER'S NURSING AND REHABILITATION CENTER |
| Practice Address |
301 Hackett Blvd Albany NY 12208-1963 |
| Practice Telephone | 5185257600 |
| Practice Fax Number | 5185257673 |
| Mailing Telephone | 5185257600 |
| Mailing Fax Number | 5185257673 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GLEN COOPER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5185257670 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0101305N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00310081 | 05 |
| Other Name | Type Code |
|---|---|
| St. Peter's Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
301 HACKETT BLVD |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-1963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271241 | Sadie Lapierre Ernst | Speech-Language Pathologist | 301 Hackett Blvd, Albany, NY 12208-1963 | 2020-09-28 |
| 1811526569 | Daniel Angelo Nalupta Javier | Physical Therapist | 301 Hackett Blvd, Albany, NY 12208-1963 | 2020-04-05 |
| 1396376265 | Carie L Cole | Physical Therapist | 301 Hackett Blvd, Albany, NY 12208-1963 | 2020-01-30 |
| 1164061289 | John Dorsey | Physical Therapy Assistant | 301 Hackett Blvd, Albany, NY 12208-1963 | 2020-01-06 |
| 1841847894 | Amanda Nicole Guzman | Student in an Organized Health Care Education/Training Program | 301 Hackett Blvd, Albany, NY 12208-1963 | 2019-08-23 |
| 1134693971 | Julie Myers | Occupational Therapist | 301 Hackett Blvd, Albany, NY 12208 | 2019-01-15 |
| 1770067662 | Emilie M Romano | Occupational Therapy Assistant | 301 Hackett Blvd, Albany, NY 12208-1963 | 2018-09-18 |
| 1386817633 | Ahmad A Sultan Md Pllc | Physical Medicine & Rehabilitation | 301 Hackett Blvd, Albany, NY 12208-1963 | 2008-04-08 |
| 1003831405 | Ahmad Adnan Sultan | Physical Medicine & Rehabilitation | 301 Hackett Blvd, Albany, NY 12208-1963 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| 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 |
|---|---|---|---|---|
| 1356403190 | Deamc | Skilled Nursing Facility | 5176 Washington Rd, Albany, OH 45710-9400 | 2006-12-15 |
| 1225139678 | Ahnh LLC | Skilled Nursing Facility | 325 Northern Blvd, Albany, NY 12204-1001 | 2006-09-26 |
| 1366558967 | Riverview Hospital | Skilled Nursing Facility | 910 W Walnut St, Albany, IN 47320-1530 | 2006-08-23 |
| 1326071507 | Albany Health Care, Inc | Skilled Nursing Facility | 223 W 3rd Ave, Albany, GA 31701-2002 | 2006-07-09 |
| 1609809896 | Palmyra Nursing Home, Inc | Skilled Nursing Facility | 1904 Palmyra Rd, Albany, GA 31701-1575 | 2006-07-09 |
| 1861443335 | Ggnsc Albany LLC | Skilled Nursing Facility | 1405 E Us Highway 136, Albany, MO 64402-8222 | 2006-05-12 |
| 1104899939 | Mother of Mercy | Skilled Nursing Facility | 230 Church Avenue, Albany, MN 56307-0676 | 2006-02-10 |
| 1518946029 | Hqm of Clinton County, Inc | Skilled Nursing Facility | 404 N Washington St, Clinton County, Albany, KY 42602-1312 | 2006-01-12 |
| 1578550653 | Teresian House Nursing Home Co Inc | Skilled Nursing Facility | 200 Washington Avenue Ext, Albany, NY 12203-5335 | 2005-10-04 |
| 1427044619 | Pci Care Venture I, Inc | Skilled Nursing Facility | 1023 6th Ave Sw, Albany, OR 97321-1917 | 2005-09-22 |
| Find all providers in ALBANY | ||||
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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.