SOLDIERS & SAILORS MEMORIAL HOSPITAL (NPI# 1376686162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376686162 |
| Entity Type | Organization |
| Organization Name | SOLDIERS & SAILORS MEMORIAL HOSPITAL |
| Other Organization Name | HOMESTEAD AT SOLDIERS & SAILORS MEMORIAL HOSPITAL |
| Practice Address |
418 N Main St Penn Yan NY 14527-1070 |
| Mailing Address |
196 North St Geneva NY 14456-1651 |
| Practice Telephone | 3157874150 |
| Practice Fax Number | 3157874794 |
| Mailing Telephone | 3157874150 |
| Mailing Fax Number | 3157874794 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2014-11-13 |
| Authorized Official Name | PAMELA E JOHNSON (TREASURER & CFO) |
| Authorized Official Telephone | 3157874030 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOLDIERS & SAILORS MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00355720 | 05 | |
| NY | BLUE CROSS | 40 | 01 |
| NY | BLUE CHOICE | P015005055 | 01 |
| NY | PREFERRED CARE GOLD | 111181CI | 01 |
| Other Name | Type Code |
|---|---|
| HOMESTEAD AT SOLDIERS & SAILORS MEMORIAL HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989265 | Soldiers & Sailors Memorial Hospital | Family Medicine | 1991 Balsley Rd, Seneca Falls, NY 13148-9797 | 2020-10-16 |
| 1972101491 | Soldiers & Sailors Memorial Hospital | Family Medicine | 367 E Main St, Waterloo, NY 13165-1662 | 2020-10-16 |
| 1538708128 | Soldiers & Sailors Memorial Hospital | Family Medicine | 418 N Main St, Penn Yan, NY 14527-1070 | 2019-12-30 |
| 1891972774 | Soldiers & Sailors Memorial Hospital | Anesthesiology | 418 N Main St, Penn Yan, NY 14527-1070 | 2008-01-23 |
| 1629255500 | Soldiers & Sailors Memorial Hospital | Surgery | 418 N Main St, Penn Yan, NY 14527-1070 | 2008-01-23 |
| 1285777086 | Soldiers & Sailors Memorial Hospital | Psychiatric Unit | 418 N Main St, Penn Yan, NY 14527-1070 | 2007-02-14 |
| 1093858896 | Soldiers & Sailors Memorial Hospital | Medicare Defined Swing Bed Unit | 418 N Main St, Penn Yan, NY 14527-1070 | 2007-02-14 |
| 1043353618 | Soldiers & Sailors Memorial Hospital | Emergency Medicine | 418 N Main St, Penn Yan, NY 14527-1070 | 2007-02-14 |
| 1215044516 | Soldiers & Sailors Memorial Hospital | Emergency Medical Technician, Paramedic | 418 N Main St, Penn Yan, NY 14527-1085 | 2006-08-23 |
| Street Address |
418 N MAIN ST |
| City | PENN YAN |
| State | NY |
| Zip Code | 14527-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912993098 | Eleanor Hinds De Witt | Internal Medicine | 418 N Main St, Penn Yan, NY 14527-1070 | 2005-09-23 |
| 1073123170 | Rachael Patten | Social Worker | 418 N Main St, Penn Yan, NY 14527-1070 | 2020-08-04 |
| 1669003117 | Kaitlin Dehond | Physical Therapist | 418 N Main St, Penn Yan, NY 14527-1070 | 2020-02-03 |
| 1427698265 | Joshua Pritchard | Occupational Therapist | 418 N Main St, Penn Yan, NY 14527-1070 | 2020-01-09 |
| 1538708128 | Soldiers & Sailors Memorial Hospital | Family Medicine | 418 N Main St, Penn Yan, NY 14527-1070 | 2019-12-30 |
| 1831663806 | Amanda Marie Everett-smith I | Social Worker | 418 N Main St, Penn Yan, NY 14527-1070 | 2019-01-14 |
| 1720597636 | Nathan Travis Stowell | Nurse Practitioner | 418 N Main St, Penn Yan, NY 14527-1070 | 2017-09-22 |
| 1639619026 | Karlee Roberts | Social Worker | 418 N Main St, John D Kelly Behavioral Health, Penn Yan, NY 14527-1070 | 2017-03-03 |
| 1528519378 | Soldiers and Sailors Memorial Hospital | Family Medicine | 418 N Main St, Penn Yan, NY 14527-1070 | 2016-10-17 |
| 1043582380 | Tara A. Atkinson | Social Worker | 418 N Main St, Patient Accounting Dept., Penn Yan, NY 14527-1070 | 2012-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523624 | Patrick James Lenney | Social Worker | 418 N. Main St, Penn Yan, NY 14527 | 2020-03-13 |
| 1568937340 | Robert D Knapp Independent At Home | Clinic/Center | 1 Keuka Business Park Suite201, Penn Yan, NY 14527 | 2018-10-09 |
| 1912241555 | Janis Michele Jepsen | Specialist | 417 Liberty Street Suite 2120, Penn Yan, NY 14527 | 2012-11-20 |
| 1316031057 | Kimberly A Newell | Nurse Anesthetist, Certified Registered | 418 North Main Street, Penn Yan, NY 14527 | 2006-10-03 |
| 1346341625 | Kathleen Gail Obrien | Nurse Practitioner | 465 North Main Street, Penn Yan, NY 14527 | 2006-09-26 |
| 1699877209 | Deborah L Casson | Nurse Practitioner | 1 Keuka Business Park, Penn Yan, NY 14527 | 2006-09-03 |
| 1205377454 | Nancy Stone | Community Health Worker | 1 Keuka Business Park, Suite 205, Penn Yan, NY 14527 | 2017-03-20 |
| 1386786895 | James L Coles Lcsw, PC | Social Worker | 1 Keuka Business Park, Penn Yan, NY 14527 | 2007-02-12 |
| 1124181094 | Sherri L Borglum | Counselor | 21 Main St, Penn Yan, NY 14527 | 2006-12-19 |
| 1033215934 | Janet Lisa Lewis | Psychiatry & Neurology | 108 Kimball Ave, Suite 1, Penn Yan, NY 14527 | 2006-09-16 |
| Find all providers in zip 14527 | ||||
| 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 |
|---|---|---|---|---|
| 1760476568 | Penn Yan Manor Nursing Home, Inc. | Skilled Nursing Facility | 655 Liberty St, Penn Yan, NY 14527-1048 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730701343 | Diamond Medical Employment Agency Inc | Skilled Nursing Facility | 21873 Hempstead Ave, Queens Village, NY 11429-2103 | 2020-05-18 |
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1659936334 | Nelson Tannis | Skilled Nursing Facility | 165 Broadway, New York, NY 10006-1404 | 2019-05-07 |
| 1295390029 | Westgate Operations Associates LLC | Skilled Nursing Facility | 525 Beahan Rd, Rochester, NY 14624-3403 | 2019-05-07 |
| 1952883423 | Roscoe Regional Healthcare LLC | Skilled Nursing Facility | 420 Rockland Rd, Roscoe, NY 12776-6450 | 2018-08-31 |
| 1164904769 | Renaissance Healthcare Group, LLC | Skilled Nursing Facility | 4975 Albany Post Rd, Staatsburg, NY 12580-6032 | 2018-08-30 |
| 1477049807 | Itkin Occupational Therapy PC | Skilled Nursing Facility | 134 Mackenzie Street, Brooklyn, NY 11235 | 2018-07-09 |
| 1699280826 | 239 Legris Avenue Operations LLC | Skilled Nursing Facility | 3118 Quentin Rd, Brooklyn, NY 11234-4235 | 2017-12-11 |
| 1376058578 | Yonkers Gardens, LLC | Skilled Nursing Facility | 115 S Broadway, Yonkers, NY 10701-4006 | 2017-12-10 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
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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.