JEWISH HOME OF EASTERN PENNSYLVANIA (NPI# 1235137472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235137472 |
| Entity Type | Organization |
| Organization Name | JEWISH HOME OF EASTERN PENNSYLVANIA |
| Practice Address |
1101 Vine St Scranton PA 18510-2126 |
| Practice Telephone | 5703446177 |
| Practice Fax Number | 5703449610 |
| Mailing Telephone | 5703446177 |
| Mailing Fax Number | 5703449610 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | SAMUEL K SANDHAUS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5703446177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
360402 | PA | Suppliers |
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
360402 | PA | Suppliers |
| Y | 314000000X | Skilled Nursing Facility | 360402 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0007472840001 | 05 |
| Street Address |
1101 VINE ST |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-2126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054924 | Timothy M Fisch | Occupational Therapist | 1101 Vine St, Scranton, PA 18510-2193 | 2019-07-10 |
| 1649778820 | Randy Taylor | Physical Therapy Assistant | 1101 Vine St, Scranton, PA 18510-2126 | 2018-01-23 |
| 1437503273 | Brooke Lynn Shores | Occupational Therapist | 1101 Vine St, Scranton, PA 18510-2126 | 2016-04-18 |
| 1992195317 | Dennis Mcgowan | Physical Therapy Assistant | 1101 Vine St, Scranton, PA 18510-2126 | 2015-01-24 |
| 1134524010 | Melissa Ann Dunston-brace | Physical Therapy Assistant | 1101 Vine St, Scranton, PA 18510-2126 | 2014-11-04 |
| 1730584087 | Marielle Munley | Occupational Therapy Assistant | 1101 Vine St, Scranton, PA 18510-2126 | 2014-10-29 |
| 1225465784 | Selena Carolyn Snyder | Occupational Therapist | 1101 Vine St, Scranton, PA 18510-2126 | 2013-09-30 |
| 1912252057 | Mallory Leann Devaney | Speech-Language Pathologist | 1101 Vine St, Scranton, PA 18510-2126 | 2012-07-15 |
| 1083990576 | Deidre Ann Mcglynn | Physical Therapist | 1101 Vine St, Scranton, PA 18510-2126 | 2011-10-27 |
| 1699068247 | Candice Pagnotti | Physical Therapist | 1101 Vine St, Therapy Dept, Scranton, PA 18510-2126 | 2011-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
| 1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
| 1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
| 1619092970 | Susan Rudalavage | Dietitian, Registered | 640 Madison Avenue, Scranton, PA 18510 | 2007-03-19 |
| 1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
| 1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
| 1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
| 1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
| 1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
| 1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
| Find all providers in zip 18510 | ||||
| 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 |
|---|---|---|---|---|
| 1013074269 | Scranton Health Care Center | Skilled Nursing Facility | 2933 Mccarthy St, Scranton, PA 18505-3017 | 2007-01-03 |
| 1386701118 | Green Ridge Health Care Center, LLC | Skilled Nursing Facility | 2741 Boulevard Ave, Scranton, PA 18509-1000 | 2007-01-02 |
| 1245314699 | Palmetto Lake City Operating LLC | Skilled Nursing Facility | 1940 Boyd Rd, Scranton, SC 29591-5835 | 2006-10-24 |
| 1902857212 | Ggnsc Scranton Lp | Skilled Nursing Facility | 824 Adams Ave, Scranton, PA 18510-1002 | 2006-05-12 |
| 1659352854 | Moses Taylor Hospital | Skilled Nursing Facility | 700 Clay Ave, Scranton, PA 18510-1728 | 2005-11-07 |
| 1790783017 | Home for The Aged of The Little Sisters of The Poor | Skilled Nursing Facility | 2500 Adams Ave, Scranton, PA 18509-1515 | 2005-07-11 |
| 1528061785 | Mountain View Nursing Home, Inc. | Skilled Nursing Facility | 2309 Stafford Ave, Scranton, PA 18505-3686 | 2005-05-23 |
| 1114426137 | Mountain View Care and Rehabilitation Center, LLC | Skilled Nursing Facility | 2309 Stafford Ave, Scranton, PA 18505-3686 | 2018-02-05 |
| 1780129973 | Allied Health Care Services | Skilled Nursing Facility | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2016-12-27 |
| 1548702137 | The Meadows At Scranton for Nursing and Rehabilitation LLC | Skilled Nursing Facility | 824 Adams Ave, Scranton, PA 18540-1002 | 2016-11-14 |
| Find all providers in SCRANTON | ||||
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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.