PRESBYTERIAN HOME OF REDSTONE PRESBYTERY (NPI# 1275649634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275649634 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN HOME OF REDSTONE PRESBYTERY |
| Practice Address |
787 Goucher St Johnstown PA 15905-3028 |
| Practice Telephone | 8142555539 |
| Practice Fax Number | 8142541809 |
| Mailing Telephone | 8142555539 |
| Mailing Fax Number | 8142541809 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-08-08 |
| Authorized Official Name | MR. TIMOTHY JOHN REEVES (ADMINISTRATOR) |
| Authorized Official Telephone | 8142555539 |
| Authorized Official Credential | PCA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 680102 | PA | Nursing & Custodial Care Facilities |
| Street Address |
787 GOUCHER ST |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699147603 | Westmont Woods, Lp | Skilled Nursing Facility | 787 Goucher St, Johnstown, PA 15905-3028 | 2015-10-29 |
| 1124305446 | Rhiana Bodenschatz | Occupational Therapist | 787 Goucher St, Johnstown, PA 15905-3028 | 2011-11-15 |
| 1942525795 | Rebecca Jo Dluhos | Speech-Language Pathologist | 787 Goucher St, Johnstown, PA 15905-3028 | 2010-04-05 |
| 1003061961 | John Quinn Tremel | Physical Therapist | 787 Goucher St, Johnstown, PA 15905-3028 | 2008-11-19 |
| 1417026170 | Raeanne Theresa Lane | Occupational Therapist | 787 Goucher St, Johnstown, PA 15905-3028 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552445 | Kristina Marie Sloan | Registered Nurse | Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 | 2018-06-15 |
| 1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
| 1497091797 | Jessica Pacsai | Occupational Therapist | 807 Goucher Street, Johnstown, PA 15905 | 2012-12-14 |
| 1225396351 | Lusine Mesropyan | Surgery | 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 | 2012-04-26 |
| 1467766931 | Kimberly Buchanan | Speech-Language Pathologist | 787 Goucher Street, Johnstown, PA 15905 | 2010-07-27 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1932357878 | Michael Cameron Sleet | Surgery | Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 | 2008-09-04 |
| 1255528543 | Assisted Living Concepts Inc | Assisted Living Facility | 500 Cheney Oaks Drive, Johnstown, PA 15905 | 2007-10-01 |
| 1578766648 | Tamera Waggle | Nurse Anesthetist, Certified Registered | 1186 Franklin St., Johnstown, PA 15905 | 2007-06-07 |
| 1821206178 | Blue and Green Medical PC | Internal Medicine | 1743 Goucher Street, Johnstown, PA 15905 | 2007-05-18 |
| Find all providers in zip 15905 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710428834 | Bridget Mccaffrey | Nursing Facility/Intermediate Care Facility | 9320 Tulip St, Philadelphia, PA 19114-4017 | 2017-03-09 |
| 1073915724 | Doula | Nursing Facility/Intermediate Care Facility | 126 Dauntless Dr, Pittsburgh, PA 15235-3031 | 2014-09-24 |
| 1659653285 | Prestige Realty Services,inc. | Nursing Facility/Intermediate Care Facility | 1165 Red Fox Rd, East Stroudsburg, PA 18301-9106 | 2011-09-09 |
| 1922306885 | Genesis Healthcare Corporation | Nursing Facility/Intermediate Care Facility | 1700 Pine Street, Norristown, PA 19401-3040 | 2011-03-02 |
| 1932412582 | Nurse Sharks, Inc. | Nursing Facility/Intermediate Care Facility | 661 Byrnedale Rd, Weedville, PA 15868-1515 | 2010-07-23 |
| 1427200740 | Shelley Ann Redding | Nursing Facility/Intermediate Care Facility | 2029 Wesgate Dr, Bethlehem, PA 18017 | 2008-10-17 |
| 1427200146 | Manor Care Nursing and Rehabilitaion Center | Nursing Facility/Intermediate Care Facility | 130 Dewey St, Etna, PA 15223-1745 | 2008-10-13 |
| 1164670998 | Joyce Ann Malloy | Nursing Facility/Intermediate Care Facility | 23 Craighead St, Pittsburgh, PA 15211-2103 | 2008-09-04 |
| 1588856009 | Friends Home In Kennett/linden Hall | Nursing Facility/Intermediate Care Facility | 147 W State St, Kennett Square, PA 19348-3022 | 2007-08-17 |
| 1417162348 | Alpine Manor, Inc. | Nursing Facility/Intermediate Care Facility | 4114 Schaper Ave, Erie, PA 16508-3350 | 2007-05-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PRESBYTERIAN HOME OF REDSTONE PRESBYTERY.
| 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.