SHANE HILL REHABILITATION AND NURSING CENTER LLC (NPI# 1376144782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376144782 |
| Entity Type | Organization |
| Organization Name | SHANE HILL REHABILITATION AND NURSING CENTER LLC |
| Practice Address |
10731 State Route 118 Rockford OH 45882-8947 |
| Mailing Address |
1080 Mcdonald Ave Ste 213 Brooklyn NY 11230-2633 |
| Practice Telephone | 4193632620 |
| Mailing Telephone | 6084486200 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | ISAAK MARKOVITS (CFO) |
| Authorized Official Telephone | 6084486200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Divine Rehabilitation and Nursing Center at Shane Hill | Doing Business As Name - Organization |
| Street Address |
10731 STATE ROUTE 118 |
| City | ROCKFORD |
| State | OH |
| Zip Code | 45882-8947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205881661 | The Laurels of Rockford, Inc. | Nursing Facility/Intermediate Care Facility | 10731 State Route 118, Rockford, OH 45882-8947 | 2006-05-24 |
| 1952483455 | The Laurels of Rockford, Inc. | Durable Medical Equipment & Medical Supplies | 10731 State Route 118, Rockford, OH 45882-8947 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366531444 | John K Granger | Dentist | 160 E Walnut St, Rockford, OH 45882-0314 | 2006-10-12 |
| 1730183591 | Jerry D Sell | Family Medicine | 506 S Main St, Rockford, OH 45882-9228 | 2005-06-09 |
| 1851810212 | Lisa Renee Rolfes | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2017-09-16 |
| 1740704857 | Benjamin Keith Gudorf | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2017-07-31 |
| 1053454314 | Van Wert Medical Services | Specialist | 506 S Main St, Rockford, OH 45882-9228 | 2007-02-15 |
| 1275537045 | Rona M. Dellinger | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2005-06-09 |
| 1740600964 | Matt Dapore | Nursing Home Administrator | 203 Buckeye St, Rockford, OH 45882-9266 | 2014-04-28 |
| 1811015951 | Healthcare Management Counsultants, Inc | Skilled Nursing Facility | 201 Buckeye St, Rockford, OH 45882-9266 | 2007-03-27 |
| 1417369760 | Colonial Healthcare LLC | Skilled Nursing Facility | 203 Buckeye St, Rockford, OH 45882-9266 | 2014-05-21 |
| 1134421456 | Rockford Healthcare Group, Inc. | Skilled Nursing Facility | 201 Buckeye St, Rockford, OH 45882-9266 | 2010-11-18 |
| Find all providers in zip 45882 | ||||
| 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 |
|---|---|---|---|---|
| 1912029760 | Willows Health Center | Skilled Nursing Facility | 4054 Albright Ln, Rockford, IL 61103-1576 | 2007-04-04 |
| 1811015951 | Healthcare Management Counsultants, Inc | Skilled Nursing Facility | 201 Buckeye St, Rockford, OH 45882-9266 | 2007-03-27 |
| 1902930688 | Springwood Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 1920 N Main St, Rockford, IL 61103-4708 | 2007-03-15 |
| 1619983467 | Amberwood Care Centre LLC | Skilled Nursing Facility | 2313 N Rockton Ave, Rockford, IL 61103-3618 | 2006-08-01 |
| 1821079591 | Asta Care Center of Rockford LLC | Skilled Nursing Facility | 707 W Riverside Blvd, Rockford, IL 61103-2125 | 2005-11-09 |
| 1427048826 | Lutheran Social Services of Illinois | Skilled Nursing Facility | 1311 Parkview Ave, Rockford, IL 61107-1899 | 2005-10-26 |
| 1114913241 | Presence Life Connections | Skilled Nursing Facility | 4405 Highcrest Rd, Rockford, IL 61107-1452 | 2005-09-23 |
| 1619963816 | Alden-alma Nelson Manor, Inc. | Skilled Nursing Facility | 550 S Mulford Rd, Rockford, IL 61108-2511 | 2005-09-22 |
| 1124013255 | Presence Life Connections | Skilled Nursing Facility | 3330 Maria Linden Dr, Rockford, IL 61114-5480 | 2005-09-14 |
| 1316931082 | County of Winnebago | Skilled Nursing Facility | 404 Elm St, Rockford, IL 61101-1239 | 2005-09-08 |
| Find all providers in ROCKFORD | ||||
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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.