MOHAWK VALLEY NURSING HOME (NPI# 1194894022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194894022 |
| Entity Type | Organization |
| Organization Name | MOHAWK VALLEY NURSING HOME |
| Practice Address |
99 6th Ave Ilion NY 13357-1527 |
| Practice Telephone | 3158954050 |
| Practice Fax Number | 3158957197 |
| Mailing Telephone | 3158954050 |
| Mailing Fax Number | 3158957197 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-08-29 |
| Authorized Official Name | MR. RALPH P REID (CEO) |
| Authorized Official Telephone | 3158954050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00473941 | 05 | |
| NY | 01167977 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MOHAWK VALLEY NURSING HOME FOUNDATION, INC. | 99 Sixth Avenue, Ilion, Ny 13357 |
| New York State Corporations | MOHAWK VALLEY NURSING HOME, INCORPORATED | 99 Sixth Avenue, Ilion, Ny 13357 |
| Street Address |
99 6TH AVE |
| City | ILION |
| State | NY |
| Zip Code | 13357-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033697883 | Grand Mohawk Valley LLC | Skilled Nursing Facility | 99 6th Ave, Ilion, NY 13357-1527 | 2018-08-03 |
| 1538397211 | Mvnh Associates, LLC | Skilled Nursing Facility | 99 6th Ave, Ilion, NY 13357-1527 | 2009-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126746 | Caitlin Keeler | Registered Nurse | 111 Frederick St., Ilion, NY 13357 | 2018-09-03 |
| 1447521752 | Esther Ann Burrello | Registered Nurse | 326 Barringer Road, Ilion, NY 13357 | 2012-01-18 |
| 1558501965 | Mary Ellen Dolly | Registered Nurse | 245 East Clark Street, Ilion, NY 13357 | 2009-02-25 |
| 1477646149 | William Parker | Family Medicine | 295 W. Main St., Ilion, NY 13357 | 2006-10-02 |
| 1962517342 | Susan Jean Harkins | Nurse Practitioner | 99 Sixth Avenue, Ilion, NY 13357 | 2006-08-19 |
| 1598878746 | Stephen D May | Dentist | 25 Central Plaza, Ilion, NY 13357 | 2006-08-15 |
| 1285055673 | Kelley Marie Holmes-morton | Massage Therapist | 6 W Clark St, Ilion, NY 13357-1102 | 2014-01-02 |
| 1104174929 | Ashley Hoffman | Speech-Language Pathologist | 41 W River St, Ilion, NY 13357-1117 | 2012-08-28 |
| 1275719007 | Jennifer P Melnick | Registered Nurse | 110 W River St, Ilion, NY 13357-1120 | 2008-01-10 |
| 1144590670 | Barbara Jean Lennox | Registered Nurse | 77 E North St, Ilion, NY 13357-1211 | 2011-12-30 |
| Find all providers in zip 13357 | ||||
| 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 |
|---|---|---|---|---|
| 1033697883 | Grand Mohawk Valley LLC | Skilled Nursing Facility | 99 6th Ave, Ilion, NY 13357-1527 | 2018-08-03 |
| 1538397211 | Mvnh Associates, LLC | Skilled Nursing Facility | 99 6th Ave, Ilion, NY 13357-1527 | 2009-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730701343 | Diamond Medical Employment Agency Inc | Skilled Nursing Facility | 21873 Hempstead Ave, Queens Village, NY 11429-2103 | 2020-05-18 |
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1659936334 | Nelson Tannis | Skilled Nursing Facility | 165 Broadway, New York, NY 10006-1404 | 2019-05-07 |
| 1295390029 | Westgate Operations Associates LLC | Skilled Nursing Facility | 525 Beahan Rd, Rochester, NY 14624-3403 | 2019-05-07 |
| 1952883423 | Roscoe Regional Healthcare LLC | Skilled Nursing Facility | 420 Rockland Rd, Roscoe, NY 12776-6450 | 2018-08-31 |
| 1164904769 | Renaissance Healthcare Group, LLC | Skilled Nursing Facility | 4975 Albany Post Rd, Staatsburg, NY 12580-6032 | 2018-08-30 |
| 1477049807 | Itkin Occupational Therapy PC | Skilled Nursing Facility | 134 Mackenzie Street, Brooklyn, NY 11235 | 2018-07-09 |
| 1699280826 | 239 Legris Avenue Operations LLC | Skilled Nursing Facility | 3118 Quentin Rd, Brooklyn, NY 11234-4235 | 2017-12-11 |
| 1376058578 | Yonkers Gardens, LLC | Skilled Nursing Facility | 115 S Broadway, Yonkers, NY 10701-4006 | 2017-12-10 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
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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.