KENMORE MERCY HOSPITAL (NPI# 1164436283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164436283 |
| Entity Type | Organization |
| Organization Name | KENMORE MERCY HOSPITAL |
| Other Organization Name | KENMORE MERCY HOSPITAL REHABILITATION UNIT |
| Practice Address |
2950 Elmwood Ave Kenmore NY 14217-1304 |
| Practice Telephone | 7164476100 |
| Mailing Telephone | 7164476100 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2012-09-17 |
| Authorized Official Name | JAMES DUNLOP (SENIOR VICE PRESIDENT FINANCE & CFO) |
| Authorized Official Telephone | 7168622431 |
| Is Organization Subpart | Y |
| Parent Organization Name | KENMORE MERCY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 1404030H | NY | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS OF WNY | 041 | 01 |
| NY | INDEPENDENT HEALTH | 10 | 01 |
| NY | FIDELIS | 040401000067 | 01 |
| NY | UNIVERA | 00011412501 | 01 |
| NY | 00354343 | 05 |
| Other Name | Type Code |
|---|---|
| Kenmore Mercy Hospital Rehabilitation Unit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659909752 | Kenmore Mercy Hospital | Internal Medicine | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2020-04-01 |
| 1093192734 | Kenmore Mercy Hospital | General Acute Care Hospital | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2015-05-01 |
| 1770598104 | Kenmore Mercy Hospital | General Acute Care Hospital | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2006-07-31 |
| 1083655492 | Kenmore Mercy Hospital | Internal Medicine | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2006-06-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KENMORE MERCY HOSPITAL | 2950 Elmwood Avenue, 6th Floor, Kenmore, NY 14217-1304 |
| New York State Corporations | KENMORE MERCY HOSPITAL | 144 Genesee Street, 6th Floor-west, Buffalo, Ny 14203 |
| Street Address |
2950 ELMWOOD AVE |
| City | KENMORE |
| State | NY |
| Zip Code | 14217-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734066 | Victoria Paulsen | Anesthesiology | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2020-06-16 |
| 1659909752 | Kenmore Mercy Hospital | Internal Medicine | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2020-04-01 |
| 1962048793 | David Michael Armstrong | Nurse Practitioner | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2019-11-27 |
| 1790332443 | Theresa Lynn Jackson | Dietitian, Registered | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2019-08-19 |
| 1174058549 | Great Lakes Locums LLC | Hospitalist | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2017-04-24 |
| 1619424884 | Buffalo Niagara Hospitalist LLC | General Acute Care Hospital | 2950 Elmwood Ave, Kenmore, NY 14217 | 2016-09-06 |
| 1629525167 | Caitlin Elizabeth Ortiz | Nurse Practitioner | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2016-09-01 |
| 1255714762 | Krystal R Burns | Nurse Anesthetist, Certified Registered | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2015-07-01 |
| 1033591342 | Robert E Baker IIi | Physician Assistant | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2015-06-23 |
| 1295114601 | Jeffrey Olek | Pharmacist | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2015-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585201 | Emma Rae Rooney | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave., Kenmore, NY 14217 | 2019-12-11 |
| 1558801530 | Elizabeth Fazio | Local Education Agency (LEA) | 3767 Delaware Ava, Kenmore, NY 14217 | 2017-02-24 |
| 1477940393 | Laura Sabia | Case Manager/Care Coordinator | 2900 Deleware Avenue, Kenmore, NY 14217 | 2015-04-17 |
| 1770994881 | Kenmore Family Medicine | Family Medicine | 2914 Elmwood Avenue, Kenmore, NY 14217 | 2014-05-12 |
| 1144576265 | Elizabeth Anne Leiser | Nurse Practitioner | 274 W Girard Blvd, Kenmore, NY 14217 | 2012-07-26 |
| 1730442385 | Christopher Landeo | Case Manager/Care Coordinator | 2900 Delaware Avenue, Kenmore, NY 14217 | 2012-06-19 |
| 1013291095 | Sharon Karnyski | Physical Therapist | 2900 Delaware Avenu, Kenmore, NY 14217 | 2011-10-07 |
| 1164706784 | Joanne Karen Cascio | Registered Nurse | 3756 Delaware Avenue, Kenmore, NY 14217 | 2011-09-30 |
| 1467742692 | Nicole Anne Perrotta | Occupational Therapy Assistant | 3767 Delaware Avenue, Kenmore, NY 14217 | 2011-04-08 |
| 1538466511 | Diane J. Sutter, M.d., LLC | Obstetrics & Gynecology | 3800 Delaware Avenue, Suite 102, Kenmore, NY 14217 | 2011-02-28 |
| Find all providers in zip 14217 | ||||
| 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 |
|---|---|---|---|---|
| 1376087072 | Catholic Health System | Rehabilitation Unit | 1495 Military Rd, Kenmore, NY 14217-1339 | 2016-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134676729 | Billie Jo Loveless | Rehabilitation Unit | 6 East Clinton Street, Apt 1, Johnstown, NY 12095 | 2016-09-01 |
| 1205297009 | Big N Little Corp | Rehabilitation Unit | 1208 Avenue M Ste 2504, Brooklyn, NY 11230-5204 | 2016-03-08 |
| 1437548021 | Professional Caring Hands | Rehabilitation Unit | 129 Vernon Ave, Mount Vernon, NY 10553-1811 | 2015-01-20 |
| 1386040053 | James Pronesti Audiology Consultant Pllc | Rehabilitation Unit | 9402 Church Ave, Box 121058, Brooklyn, NY 11212-1679 | 2014-11-07 |
| 1881097962 | Atlantic Adult Day Care LLC | Rehabilitation Unit | 111 W End Ave, Brooklyn, NY 11235-4808 | 2014-10-02 |
| 1730589011 | Department of Education | Rehabilitation Unit | 37 Sherman Rd, Farmingdale, NY 11735-2236 | 2014-08-24 |
| 1992137335 | Shield Physical Therapy PC | Rehabilitation Unit | 8523 Broadway, Unit D, Elmhurst, NY 11373-5866 | 2013-08-08 |
| 1689937773 | Meghan D Condron, Physical Therapy, P.C. | Rehabilitation Unit | 933 Lester Rd, Yorktown Heights, NY 10598-2923 | 2012-06-22 |
| 1427314822 | Tinytree O.t, PC | Rehabilitation Unit | 54 Knickerbocker Ave, 2j, Brooklyn, NY 11237 | 2012-04-10 |
| 1104059112 | Annalyn Lazarus | Rehabilitation Unit | 60 Madison Ave Fl 8, New York, NY 10010-1676 | 2009-08-25 |
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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.