800 MEDCALF LANE NORTH OPERATIONS LLC (NPI# 1386028397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386028397 |
| Entity Type | Organization |
| Organization Name | 800 MEDCALF LANE NORTH OPERATIONS LLC |
| Other Organization Name | MONTESANO HEALTH AND REHABILITATION |
| Practice Address |
800 N Medcalf Ln Montesano WA 98563-1318 |
| Practice Telephone | 3602492273 |
| Practice Fax Number | 3602492363 |
| Mailing Telephone | 3602492273 |
| Mailing Fax Number | 3602492363 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-12-10 |
| Authorized Official Name | MICHAEL T BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | WA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Montesano Health and Rehabilitation | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | 800 MEDCALF LANE NORTH OPERATIONS LLC | 101 E State St, Kennett Sq, PA 19348-3109 |
| Street Address |
800 N MEDCALF LN |
| City | MONTESANO |
| State | WA |
| Zip Code | 98563-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073787560 | Roberta Cheville | Physical Therapy Assistant | 800 N Medcalf Ln, Montesano, WA 98563-1318 | 2008-04-16 |
| 1962942359 | Jessica Bowe | Physical Therapy Assistant | 800 N Medcalf Ln, Montesano, WA 98563-1318 | 2017-03-03 |
| 1245776046 | Trevor Patrick Solis | Speech-Language Pathologist | 800 N Medcalf Ln, Montesano, WA 98563-1318 | 2017-01-17 |
| 1558724005 | Lawrence Cedette Little IIi | Community Health Worker | 800 N Medcalf Ln, Montesano, WA 98563-1318 | 2016-04-01 |
| 1306210786 | Rajashree Ishwarkumar Karvey | Physical Therapist | 800 N Medcalf Ln, Montesano, WA 98563-1318 | 2015-11-22 |
| 1770957235 | Perry J Straus | Occupational Therapy Assistant | 800 N Medcalf Ln, Montesano, WA 98563-1318 | 2015-11-20 |
| 1922477116 | Jessica Costello | Physical Therapy Assistant | 800 N Medcalf Ln, Montesano, WA 98563-1318 | 2015-09-17 |
| 1629418819 | Ana Lourdes P Lazarraga | Physical Therapist | 800 N Medcalf Ln, Montesano, WA 98563-1318 | 2013-07-02 |
| 1134480403 | Chaeli Rai Ayers | Physical Therapy Assistant | 800 N Medcalf Ln, Montesano, WA 98563-1318 | 2012-06-04 |
| 1760797393 | Mark Allen Robbins | Physical Therapy Assistant | 800 N Medcalf Ln, Montesano, WA 98563-1318 | 2010-08-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869993 | Schuyler Rose | Physical Therapist | 800 N Medcalf Street, Montesano, WA 98563 | 2019-09-04 |
| 1851944342 | Kendra Danielle Hyde | Occupational Therapy Assistant | 800 Medcalf St, Montesano, WA 98563 | 2019-07-23 |
| 1457913584 | Teresa Vansant | Licensed Practical Nurse | 800 N. Medcalf Street, Montesano, WA 98563 | 2019-06-28 |
| 1124599907 | Amanda D Heppner | Massage Therapist | 221 W. Wynooche Ave, Unit B, Montesano, WA 98563 | 2018-12-05 |
| 1841765641 | Mindy Ann Lewis | Nurse Practitioner | 319 East Pioneer Avenue, Montesano, WA 98563 | 2018-10-08 |
| 1346737145 | Sara Stange | Occupational Therapy Assistant | 800 Medcalf St., Montesano, WA 98563 | 2018-04-17 |
| 1811403751 | Gunter & Messick Dds Pllc | Dentist | 208 E. Broadway, Montesano, WA 98563 | 2017-12-14 |
| 1124493739 | Janet Hanson | Occupational Therapy Assistant | 800 Medcalf Street, Montesano, WA 98563 | 2015-12-08 |
| 1427420678 | Chona Lorico | Dietitian, Registered | 975 N Stephenson Dr, Montesano, WA 98563 | 2015-10-28 |
| 1558792697 | Kathleen Marie Schaeffer | Occupational Therapist | 1216 Fair View Lane East, Unit 1, Montesano, WA 98563 | 2013-11-27 |
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| 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 |
|---|---|---|---|---|
| 1245228444 | Revera (delaware) LLC | Skilled Nursing Facility | 800 N. Medcalf, Montesano, WA 98563-1318 | 2005-10-11 |
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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.