EASTON MD OPCO LLC (NPI# 1205461001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205461001 |
| Entity Type | Organization |
| Organization Name | EASTON MD OPCO LLC |
| Practice Address |
610 Dutchmans Ln Easton MD 21601-3346 |
| Mailing Address |
440 Sylvan Ave Ste 240 Englewood Cliffs NJ 07632-2700 |
| Practice Telephone | 4108224000 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | BATYA GORELICK (VP OF ADMIN SERVICES) |
| Authorized Official Telephone | 4108224000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
610 DUTCHMANS LN |
| City | EASTON |
| State | MD |
| Zip Code | 21601-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326014598 | Michael Douglas Crowley | Family Medicine | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2006-02-27 |
| 1235697764 | Helen Ann Petersen | Occupational Therapy Assistant | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2019-03-04 |
| 1962970731 | Elizabeth Marie Englert | Occupational Therapist | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2018-11-09 |
| 1003311630 | Messanvi M Gozo | Nurse Practitioner | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2018-03-26 |
| 1154831865 | Jennifer Paul | Physical Therapist | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2017-10-07 |
| 1285151027 | Heather Jenkins | Physical Therapy Assistant | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2017-08-23 |
| 1184146409 | Haley Layton Prettyman | Occupational Therapy Assistant | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2017-07-07 |
| 1669916912 | Timothy Goslin | Occupational Therapy Assistant | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2016-12-06 |
| 1255787115 | Advanced Dialysis Center, LLC | Clinic/Center | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2016-05-10 |
| 1346694718 | 610 Dutchmans Lane Operations LLC | Occupational Therapist | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2016-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| 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 |
|---|---|---|---|---|
| 1730119876 | Integrace, Inc. | Skilled Nursing Facility | 501 Dutchmans Lane, Easton, MD 21601 | 2006-07-04 |
| 1912933466 | Hqm of Easton, LLC | Skilled Nursing Facility | 2125 Fairview Ave, Easton, PA 18042-3813 | 2006-06-25 |
| 1255387114 | Old Orchard Health Care Center-easton Pa, LLC | Skilled Nursing Facility | 4100 Freemansburg Ave, Easton, PA 18045-5540 | 2006-05-25 |
| 1700831013 | Manor Care of Easton Pa LLC | Skilled Nursing Facility | 2600 Northampton St, Easton, PA 18045-2656 | 2006-05-24 |
| 1831171453 | Country Care Inc. | Skilled Nursing Facility | 515 Dawson St, Easton, KS 66020-9200 | 2005-11-18 |
| 1609864859 | Easton Leasing Partnership | Skilled Nursing Facility | 500 Washington St, Easton, PA 18042-4434 | 2005-10-12 |
| 1447248638 | Easton Leasing Partnership | Skilled Nursing Facility | 498 Washington St, Easton, PA 18042-4432 | 2005-10-11 |
| 1881682490 | Ccic LLC | Skilled Nursing Facility | 20379 Edwards Dr, Easton, KS 66020-8067 | 2005-10-07 |
| 1386005965 | Maybrook-p Praxis Opco, LLC | Skilled Nursing Facility | 500 Washington St, Easton, PA 18042-4434 | 2016-03-10 |
| 1275994832 | Maybrook-p Easton Opco, LLC | Skilled Nursing Facility | 498 Washington St, Easton, PA 18042-4432 | 2016-03-10 |
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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.