VILLA CREST LLC (NPI# 1194204917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194204917 |
Entity Type | Organization |
Organization Name | VILLA CREST LLC |
Practice Address |
1451 Frankstown Rd Johnstown PA 15902-1318 |
Practice Telephone | 8142881418 |
Practice Fax Number | 8142881525 |
Mailing Telephone | 8142881418 |
Mailing Fax Number | 8142881525 |
Enumeration Date | 2018-08-13 |
Last Update Date | 2019-03-12 |
Authorized Official Name | MR. JERRY WILLIAM OTTO (ADMINISTRATOR/CONSULTANT) |
Authorized Official Telephone | 8142881418 |
Authorized Official Credential | NHA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
Address | Telephone Number | Fax Number |
---|---|---|
482 Southmont Blvd, Johnstown, PA 159052821 | 8146597606 | 8142881525 |
Street Address |
1451 FRANKSTOWN RD |
City | JOHNSTOWN |
State | PA |
Zip Code | 15902-1318 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538126073 | Conemaugh Valley School District | Local Education Agency (LEA) | 1451 Frankstown Rd, Johnstown, PA 15902-1318 | 2006-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720627805 | Brad Griesheimer | Counselor | 1086 Bedford St, Johnstown, PA 15902 | 2020-01-06 |
1518261072 | Cathy R Hunter | Counselor | 311 Saipan Ave, Johnstown, PA 15902-1067 | 2010-12-27 |
1194101998 | Vanessa I Orris | Midwife, Lay | 1125 Cushon St, Johnstown, PA 15902-1149 | 2015-08-04 |
1568787307 | Kimberly Lee Balamuta | Registered Nurse | 32 Reed Ct, Johnstown, PA 15902-1331 | 2010-04-05 |
1376090753 | Elizabeth Chobany | Specialist/Technologist | 689 Messenger St, Johnstown, PA 15902-1709 | 2016-09-02 |
1396084117 | Donna M Barber | Adult Companion | 519 Ash St, Johnstown, PA 15902-2021 | 2013-02-14 |
1174500326 | Seventh Ward Civic Association | Ambulance | 404 Cedar St, Johnstown, PA 15902-2022 | 2005-12-29 |
1316461288 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 220 Messenger St, Johnstown, PA 15902-2125 | 2017-08-01 |
1215456306 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 222 Central Ave, Johnstown, PA 15902-2405 | 2017-09-11 |
1689764607 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 407 Central Avenue, Johnstown, PA 15902-2502 | 2006-10-13 |
Find all providers in zip 15902 |
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 |
---|---|---|---|---|
1497824064 | Arbutus Park Manor | Skilled Nursing Facility | 207 Ottawa Street, Johnstown, PA 15904-2337 | 2006-11-07 |
1740231059 | Ggnsc Johnstown Lp | Skilled Nursing Facility | 349 Vo Tech Dr, Johnstown, PA 15904-2926 | 2006-05-12 |
1780668079 | Good Samaritan Medical Center of Johnstown | Skilled Nursing Facility | 1017 Franklin St, Johnstown, PA 15905-4110 | 2005-12-01 |
1265423727 | Zandex Health Care Corp | Skilled Nursing Facility | 267 North Main Street, Johnstown, OH 43031 | 2005-11-03 |
1588662936 | Laurel Wood Care Center, LLC | Skilled Nursing Facility | 100 Woodmont Rd, Johnstown, PA 15905-1342 | 2005-07-11 |
1831192228 | Allegheny Lutheran Social Ministries Inc. | Skilled Nursing Facility | 807 Goucher St, Johnstown, PA 15905-2900 | 2005-05-31 |
1093261463 | Guardian Elder Care At Johnstown LLC | Skilled Nursing Facility | 349 Vo Tech Dr, Johnstown, PA 15904-2926 | 2016-08-26 |
1699147603 | Westmont Woods, Lp | Skilled Nursing Facility | 787 Goucher St, Johnstown, PA 15905-3028 | 2015-10-29 |
1518010875 | Wells Nursing Home Inc. | Skilled Nursing Facility | 201 W Madison Ave, Johnstown, NY 12095-2806 | 2007-01-19 |
1164509261 | Dlp Conemaugh Memorial Medical Center LLC | Skilled Nursing Facility | 320 Main St, Johnstown, PA 15901-1601 | 2006-11-01 |
Find all providers in JOHNSTOWN |
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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.