INDIAN CREEK HEALTH CARE INC. (NPI# 1346356805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346356805 |
| Entity Type | Organization |
| Organization Name | INDIAN CREEK HEALTH CARE INC. |
| Other Organization Name | EDISON MANOR NURSING AND REHABILITATION |
| Practice Address |
222 W Edison Ave New Castle PA 16101-2174 |
| Practice Telephone | 7246526340 |
| Practice Fax Number | 7246561170 |
| Mailing Telephone | 7246526340 |
| Mailing Fax Number | 7246561170 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2015-12-11 |
| Authorized Official Name | WILLIAM WEISBERG (VICE PRESIDENT) |
| Authorized Official Telephone | 2162925706 |
| Is Organization Subpart | Y |
| Parent Organization Name | SABER HEALTHCARE HOLDINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 025902 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1012046610001 | 05 |
| Other Name | Type Code |
|---|---|
| Edison Manor Nursing and Rehabilitation | Doing Business As Name - Organization |
| Street Address |
222 W EDISON AVE |
| City | NEW CASTLE |
| State | PA |
| Zip Code | 16101-2174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629591953 | Allisha Neil | Physical Medicine & Rehabilitation | 222 W Edison Ave, New Castle, PA 16101-2174 | 2017-07-19 |
| 1235546383 | Robin Bono | Skilled Nursing Facility | 222 W Edison Ave, New Castle, PA 16101-2174 | 2014-07-21 |
| 1861809105 | Debra Conlee | Skilled Nursing Facility | 222 W Edison Ave, New Castle, PA 16101-2174 | 2014-07-18 |
| 1790192359 | Amanda Villani | Assisted Living Facility | 222 W Edison Ave, New Castle, PA 16101-2174 | 2014-07-16 |
| 1023425683 | Darleen Kepner | Skilled Nursing Facility | 222 W Edison Ave, New Castle, PA 16101-2174 | 2014-07-16 |
| 1508273137 | Douglas Kevin Lacock | Occupational Therapy Assistant | 222 W Edison Ave, New Castle, PA 16101-2174 | 2014-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699269696 | Julie Hudak | Nurse Practitioner | 2550 Ellwood Rd, New Castle, PA 16101 | 2018-06-21 |
| 1982122339 | Kayla Rose Spielvogel | Occupational Therapist | 523 N Cascade St, New Castle, PA 16101 | 2017-09-06 |
| 1932557188 | Kara Elliott | Counselor | 253 E Washington St Ste 200, New Castle, PA 16101 | 2016-05-28 |
| 1467832931 | Adam Stubert | Family Medicine | 1750 New Butler Rd Ste B, New Castle, PA 16101 | 2015-05-31 |
| 1417351412 | Coordination Care Inc. | Case Management | 125 East North St, New Castle, PA 16101 | 2014-10-20 |
| 1619386224 | Determined Will Physical Therapy LLC | Clinic/Center | 1830 Eastbrook Rd, New Castle, PA 16101 | 2014-08-07 |
| 1356757025 | Miranda Jane Appel | Dietitian, Registered | 200 South Jefferson St., New Castle, PA 16101 | 2014-07-02 |
| 1396094728 | Marcia Lynn King | Pharmacist | 31 North Jefferson St, New Castle, PA 16101 | 2012-08-30 |
| 1639454333 | Daniel Edward Rice Jr. | Registered Nurse | 508 Marlboro St, New Castle, PA 16101 | 2011-10-13 |
| 1508016957 | Discovery House-nc, LLC | Clinic/Center | 2710 W. State Street, Route 224, New Castle, PA 16101 | 2008-09-23 |
| Find all providers in zip 16101 | ||||
| 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 |
|---|---|---|---|---|
| 1124399910 | Henry County Memorial Hospital | Skilled Nursing Facility | 1023 N 20th Street, New Castle, IN 47362-4002 | 2012-01-25 |
| 1114090503 | New Castle Care, LLC | Skilled Nursing Facility | 32 Buena Vista Dr, New Castle, DE 19720-4660 | 2006-11-16 |
| 1679674733 | South Central Alpha Housing & Healthcare Inc. | Skilled Nursing Facility | 3410 W Pittsburg Rd, New Castle, PA 16101-5970 | 2006-09-25 |
| 1003821695 | Heritage House of New Castle | Skilled Nursing Facility | 1023 N 20th St, New Castle, IN 47362-4002 | 2006-07-30 |
| 1811926694 | Henry County Memorial Hospital | Skilled Nursing Facility | 901 N 16th St, New Castle, IN 47362-4318 | 2006-07-02 |
| 1326093212 | Henry County Memorial Hospital | Skilled Nursing Facility | 601 W County Road 200 S, New Castle, IN 47362-8401 | 2006-05-23 |
| 1780669531 | Jameson Care Center, Inc. | Skilled Nursing Facility | 3349 Wilmington Rd, New Castle, PA 16105-1038 | 2005-12-14 |
| 1033107297 | Overlook Leasing Partnership | Skilled Nursing Facility | 715 Harbor St, New Castle, PA 16101-2011 | 2005-10-12 |
| 1326048000 | Americare Living Center of New Castle | Skilled Nursing Facility | 990 N 16th St, New Castle, IN 47362-4317 | 2005-07-26 |
| 1679575989 | Golden Hill Nursing and Rehab Lp | Skilled Nursing Facility | 520 Friendship St, New Castle, PA 16101-4596 | 2005-06-01 |
| Find all providers in NEW CASTLE | ||||
| City | NEW CASTLE |
| Zip Code | 16101 |
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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.