SERENITY MANOR INC (NPI# 1376590406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376590406 |
Entity Type | Organization |
Organization Name | SERENITY MANOR INC |
Other Organization Name | SERENITY MANOR |
Practice Address |
87 Staley Rd Orwell OH 44076-8377 |
Mailing Address |
2125 W Prospect Rd Ashtabula OH 44004-6439 |
Practice Telephone | 4404377171 |
Practice Fax Number | 4404371086 |
Mailing Telephone | 4409928387 |
Mailing Fax Number | 4409927650 |
Enumeration Date | 2006-05-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. BEATRICE A KNOWLSON (OWNER) |
Authorized Official Telephone | 4409928387 |
Authorized Official Credential | RN/LNHA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 6261 | OH | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2357579 | 05 |
Other Name | Type Code |
---|---|
Serenity Manor | Doing Business As Name - Organization |
Street Address |
87 STALEY RD |
City | ORWELL |
State | OH |
Zip Code | 44076-8377 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497288542 | Ep Opco, LLC | Skilled Nursing Facility | 87 Staley Rd, Orwell, OH 44076-8377 | 2017-04-05 |
1932395597 | Eagle Pointe Management Inc | Skilled Nursing Facility | 87 Staley Rd, Orwell, OH 44076-8377 | 2007-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841617131 | Elizabeth Reynolds | Registered Nurse | 111 Grand Valley Avenue West, Orwell, OH 44076 | 2014-03-25 |
1871680504 | Rudolf Schuster | Dentist | 60 North Maple St, Orwell, OH 44076 | 2006-10-06 |
1205949559 | Kenneth L Lawrence | Dentist | 320 N Maple Ave, Orwell, OH 44076-0065 | 2006-08-17 |
1245573922 | Joan D Limpert | Home Health | 8695 Troutman Rd, Orwell, OH 44076-8309 | 2013-04-01 |
1144774233 | Rinda Easton | Licensed Practical Nurse | 1823 Us Route 322, Orwell, OH 44076-8327 | 2016-08-07 |
1033422977 | Nicole Gama | Registered Nurse | 694 Breezewood Ln, Orwell, OH 44076-8374 | 2010-07-21 |
1053606897 | Sandra Nims | Licensed Practical Nurse | 7191 State Route 46, Orwell, OH 44076-9379 | 2011-06-09 |
1699104851 | Laura Willingham | Registered Nurse | 7377 State Route 46, Orwell, OH 44076-9381 | 2013-11-07 |
1841206943 | Tracy R Greb | Physical Therapist | 53a E Main St, Orwell, OH 44076-9428 | 2006-07-31 |
1114960440 | Keystone Rehabilitation Systems Inc | Clinic/Center | 53 E Main St, Orwell, OH 44076-9428 | 2006-06-14 |
Find all providers in zip 44076 |
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 |
---|---|---|---|---|
1730663139 | Pamela Sue Williams | Nursing Facility/Intermediate Care Facility | 1112 Wamajo Dr, Sandusky, OH 44870-4368 | 2018-09-20 |
1407363849 | Provider Services LLC | Nursing Facility/Intermediate Care Facility | 3071 Dunbarton Ave Nw, Canton, OH 44708-1818 | 2018-01-08 |
1518493683 | Melody Sue King | Nursing Facility/Intermediate Care Facility | 822 Youngs Lane, Cincinnati, OH 45245 | 2017-05-10 |
1700323631 | Mika Derifield | Nursing Facility/Intermediate Care Facility | 205 S Pardee St, Wadsworth, OH 44281-1465 | 2017-01-30 |
1336693860 | Taria Thompson | Nursing Facility/Intermediate Care Facility | 613 E 102nd St, Cleveland, OH 44108-1326 | 2016-08-13 |
1205389319 | Soamazin Automotive | Nursing Facility/Intermediate Care Facility | 14115 Maplerow Ave, Cleveland, OH 44105-6447 | 2016-07-26 |
1194198143 | Christina Laury | Nursing Facility/Intermediate Care Facility | 7666 Clovernook Ave, Cincinnati, OH 45231-3506 | 2015-11-12 |
1437539483 | Arlington Pointe Investment Group, LLC | Nursing Facility/Intermediate Care Facility | 4900 Hendrickson Road, Middletown, OH 45044 | 2015-06-04 |
1972981322 | Toward Independence Inc. | Nursing Facility/Intermediate Care Facility | 1841 Pueblo Dr, Xenia, OH 45385-4228 | 2015-05-18 |
1053799783 | Toward Independence Inc. | Nursing Facility/Intermediate Care Facility | 5021 Oaklawn Dr, Cincinnati, OH 45227-1433 | 2015-05-14 |
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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.