PARK MANOR ACQUISITION II LLC (NPI# 1205166816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205166816 |
| Entity Type | Organization |
| Organization Name | PARK MANOR ACQUISITION II LLC |
| Practice Address |
121 Dunning Rd Middletown NY 10940-2243 |
| Practice Telephone | 8453430801 |
| Practice Fax Number | 8453431838 |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |
| Authorized Official Name | LIZER JOZEFOVIC (MEMBER) |
| Authorized Official Telephone | 8453430801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NY | Nursing & Custodial Care Facilities |
| Street Address |
121 DUNNING RD |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629064282 | Middletown Park Manor | Skilled Nursing Facility | 121 Dunning Rd, Middletown, NY 10940-2243 | 2005-09-20 |
| 1083234157 | Kerry Mckeever | Speech-Language Pathologist | 121 Dunning Rd, Middletown, NY 10940-2243 | 2020-04-19 |
| 1871961946 | Samantha Butler | Occupational Therapy Assistant | 121 Dunning Rd, Middletown, NY 10940-2243 | 2015-09-08 |
| 1275744419 | Anne Marie Robinson Glasscock | Occupational Therapist | 121 Dunning Rd, Middletown, NY 10940-2243 | 2007-05-26 |
| 1295946150 | Danielle M Schork | Physical Therapy Assistant | 121 Dunning Rd, Middletown, NY 10940-2243 | 2007-05-24 |
| 1124239074 | Elaine Moore | Occupational Therapist | 121 Dunning Rd, Middletown, NY 10940-2243 | 2007-05-24 |
| 1659582377 | Alice R. Sullivan | Nursing Facility/Intermediate Care Facility | 121 Dunning Rd, Middletown, NY 10940-2243 | 2007-05-24 |
| 1679784516 | Terri Maurizzio | Physical Therapy Assistant | 121 Dunning Rd, Middletown, NY 10940-2243 | 2007-05-24 |
| 1083823215 | Andrea Bracciante Ely | Speech-Language Pathologist | 121 Dunning Rd, Middletown, NY 10940-2243 | 2007-05-22 |
| 1063625895 | Peter Wilson Luciano Jr. | Physical Therapy Assistant | 121 Dunning Rd, Middletown, NY 10940-2243 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| 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 |
|---|---|---|---|---|
| 1881129641 | Shiney Smiley | Skilled Nursing Facility | 320 Price Dr, Middletown, DE 19709-9933 | 2017-04-28 |
| 1578901377 | Genesis Rehabilitation | Skilled Nursing Facility | 205 Mina Dr, Middletown, MD 21769-7828 | 2013-06-13 |
| 1730451501 | Wadsworth Glen, Inc | Skilled Nursing Facility | 30 Boston Rd, Middletown, CT 06457-3543 | 2012-02-08 |
| 1922323385 | Jacquelyn M. Mercey | Skilled Nursing Facility | 4111 Town Brooke, Middletown, CT 06457-6633 | 2010-03-29 |
| 1245375591 | Willow Knoll Retirement Community | Skilled Nursing Facility | 4400 Vannest Ave, Middletown, OH 45042-2770 | 2007-02-21 |
| 1184714602 | Forest Farm Health Care Center I LLC | Skilled Nursing Facility | 201 Forest Ave, Middletown, RI 02842-4625 | 2006-10-13 |
| 1861509044 | Athena Middlesex LLC | Skilled Nursing Facility | 100 Randolph Rd, Middletown, CT 06457-5637 | 2006-08-24 |
| 1568419372 | Health Resources of Middletown R I Inc | Skilled Nursing Facility | 333 Green End Ave, Middletown, RI 02842-5620 | 2006-05-27 |
| 1578520011 | Diakon Lutheran Social Ministries | Skilled Nursing Facility | 1020 N Union St, Middletown, PA 17057-2158 | 2006-04-27 |
| 1942284112 | Chs - Kensington, Inc | Skilled Nursing Facility | 751 Kensington St, Middletown, OH 45044-6017 | 2005-12-01 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
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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.