PRISTINE SENIOR LIVING OF MANSFIELD, LLC (NPI# 1285019224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285019224 |
| Entity Type | Organization |
| Organization Name | PRISTINE SENIOR LIVING OF MANSFIELD, LLC |
| Practice Address |
535 Lexington Ave Mansfield OH 44907-1502 |
| Mailing Address |
3301 W Purdue Ave Muncie IN 47304-6356 |
| Practice Telephone | 4197567111 |
| Mailing Telephone | 3174088491 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |
| Authorized Official Name | MR. CHRISTOPHER T COOK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3174088491 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2411929 | 05 |
| Street Address |
535 LEXINGTON AVE |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568491694 | Liberty Nursing Center of Mansfield, Inc. | Skilled Nursing Facility | 535 Lexington Ave, Mansfield, OH 44907-1502 | 2006-07-01 |
| 1932627353 | Sante' Health Management LLC | Nurse Practitioner | 535 Lexington Ave, Mansfield, OH 44907-1502 | 2017-09-06 |
| 1245543412 | Leslie Lee Kimmerle | Physical Therapy Assistant | 535 Lexington Ave, Mansfield, OH 44907-1502 | 2010-07-16 |
| 1962728154 | Vickie Stolpa Cornell | Occupational Therapy Assistant | 535 Lexington Ave, Mansfield, OH 44907-1502 | 2010-04-13 |
| 1053644484 | Anna Marie Kalashnik | Occupational Therapist | 535 Lexington Ave, Mansfield, OH 44907-1502 | 2009-09-17 |
| 1093946204 | Jennifer Ann Curtis | Physical Therapy Assistant | 535 Lexington Ave, Mansfield, OH 44907-1502 | 2009-08-05 |
| 1083620603 | Liberty Nursing Centers of Mansfield | Skilled Nursing Facility | 535 Lexington Ave, Mansfield, OH 44907-1502 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| 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 |
|---|---|---|---|---|
| 1710378575 | Mansfield Long Term Care LLC | Skilled Nursing Facility | 2100 Cannon Drive, Mansfield, TX 76063 | 2015-02-13 |
| 1922309962 | Mansfield Snf LLC | Skilled Nursing Facility | 200 E. Debbie Lane, Mansfield, TX 76063 | 2010-11-08 |
| 1720123318 | Crystal Care Center of Mansfield Inc. | Skilled Nursing Facility | 1159 Wyandotte Ave., Mansfield, OH 44906-1940 | 2007-02-21 |
| 1073687752 | Healthcare Ventures of Ohio LLC | Skilled Nursing Facility | 1670 Crider Rd, Mansfield, OH 44903-9268 | 2006-11-17 |
| 1124199849 | Northern Health Facilities, Inc. | Skilled Nursing Facility | 1600 Crider Rd, Mansfield, OH 44903-9268 | 2006-11-13 |
| 1942308861 | J-s Mansfield Operations, Lp | Skilled Nursing Facility | 301 N Miller Rd, Mansfield, TX 76063 | 2006-09-21 |
| 1538182654 | N & R of Mansfield, LLC | Skilled Nursing Facility | 3111 Highway A, Mansfield, MO 65704-8105 | 2006-07-26 |
| 1821018649 | Mansfield Memorial Homes, Inc | Skilled Nursing Facility | 50 Blymyer Ave, Mansfield, OH 44903-2343 | 2006-07-21 |
| 1174506075 | Levering Management, Inc. | Skilled Nursing Facility | 70 Winchester Rd, Mansfield, OH 44907-2042 | 2005-11-23 |
| 1396728739 | Desoto Retirement & Rehab Center, LLC | Skilled Nursing Facility | 635 Schley St, Mansfield, LA 71052-3820 | 2005-11-21 |
| Find all providers in MANSFIELD | ||||
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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.