ENVOY OF SOMERSET, LLC (NPI# 1386937399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386937399 |
| Entity Type | Organization |
| Organization Name | ENVOY OF SOMERSET, LLC |
| Other Organization Name | SIEMON'S LAKEVIEW MANOR NURSING AND REHABILITATION CENTER |
| Practice Address |
228 Siemon Dr Somerset PA 15501-7055 |
| Practice Telephone | 8144432811 |
| Practice Fax Number | 8144453210 |
| Mailing Telephone | 8144432811 |
| Mailing Fax Number | 8144453210 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | KENNETH USSERY (VP) |
| Authorized Official Telephone | 4075711550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 970202 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1026044800001 | 05 |
| Other Name | Type Code |
|---|---|
| Siemon's Lakeview Manor Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
228 SIEMON DR |
| City | SOMERSET |
| State | PA |
| Zip Code | 15501-7055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588641757 | Siemon Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 228 Siemon Dr, Somerset, PA 15501-7055 | 2005-12-28 |
| 1609343599 | Sophia Kon | Occupational Therapist | 228 Siemon Dr, Somerset, PA 15501-7055 | 2018-10-29 |
| 1598292880 | Lisa Marie Schofield | Occupational Therapist | 228 Siemon Dr, Somerset, PA 15501-7055 | 2017-05-17 |
| 1003284035 | Carissa Glessner | Physical Therapy Assistant | 228 Siemon Dr, Somerset, PA 15501-7055 | 2015-09-08 |
| 1548637978 | Candace Rummel | Physical Therapist | 228 Siemon Dr, Somerset, PA 15501-7055 | 2015-09-02 |
| 1013384569 | Laurie Baughman | Occupational Therapy Assistant | 228 Siemon Dr, Somerset, PA 15501-7055 | 2015-08-31 |
| 1982098810 | Hollie Giles | Occupational Therapist | 228 Siemon Dr, Somerset, PA 15501-7055 | 2015-03-28 |
| 1730573130 | Catherine Obrien-steffy | Speech-Language Pathologist | 228 Siemon Dr, Somerset, PA 15501-7055 | 2015-03-24 |
| 1255725651 | Alyssa Cronauer | Speech-Language Pathologist | 228 Siemon Dr, Somerset, PA 15501-7055 | 2015-03-24 |
| 1316331895 | Laura Timulak | Physical Therapy Assistant | 228 Siemon Dr, Somerset, PA 15501-7055 | 2015-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083108559 | Jeffrey G. Carberry, Dmd, PC | Dentist | 203 E. Patriot St., Suite 200, Somerset, PA 15501 | 2018-06-19 |
| 1437666062 | Area Agency On Aging of Somerset County | Home Delivered Meals | 1338 South Edgewood Avenue, Somerset, PA 15501 | 2018-01-04 |
| 1982131157 | Zachary James Ankney | Family Medicine | 329 S. Pleasant Ave., Somerset, PA 15501 | 2017-05-17 |
| 1013382142 | Susan Kimmel | Counselor | Georgian Place, Suite 309, Somerset, PA 15501 | 2015-12-01 |
| 1659759850 | Mohammed Abuzar Khan | Internal Medicine | 225 S Center Avenue Somerset Hospital, Somerset, PA 15501 | 2015-05-08 |
| 1649586991 | Kathryn Relampagos Trinidad | Family Medicine | 329 S. Pleasant Avenue, Somerset, PA 15501 | 2010-08-25 |
| 1063643856 | Jacob Wayne Shipley | Anesthesiology | 126 E Church St Ste 2400, Somerset, PA 15501 | 2009-07-28 |
| 1811141823 | Orthopedic & Sports Physical Therapy Associates, Inc. | Durable Medical Equipment & Medical Supplies | 223 S. Pleasant Ave, Suite 301, Somerset, PA 15501 | 2008-11-05 |
| 1720256480 | Antoinette L Botti Od | Optometrist | 134 West Main St, Somerset, PA 15501 | 2008-02-15 |
| 1558561654 | Bedford-somerset Developmental and Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 668 Rear East Main Street, Somerset, PA 15501 | 2007-07-18 |
| Find all providers in zip 15501 | ||||
| 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 |
|---|---|---|---|---|
| 1114309119 | Somerset Woods Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 780 Old New Brunswick Road, Somerset, NJ 08873 | 2015-06-25 |
| 1609190545 | James Rodney Edwards | Skilled Nursing Facility | 140 Harris Rd, Somerset, KY 42503-4916 | 2010-03-22 |
| 1316114861 | Cpl (willow Creek) LLC | Skilled Nursing Facility | 1165 Easton Ave, Somerset, NJ 08873-1613 | 2008-05-14 |
| 1518039023 | Extendicare Homes, Inc. | Skilled Nursing Facility | 200 Norfleet Dr, Somerset, KY 42501-1952 | 2006-11-14 |
| 1134158918 | Cpl (willow Creek) LLC | Skilled Nursing Facility | 1165 Easton Avenue, Somerset, NJ 08873-1613 | 2006-07-02 |
| 1639108871 | Thi of Ohio At Somerset LLC | Skilled Nursing Facility | 411 S Columbus St, Somerset, OH 43783-9415 | 2006-07-01 |
| 1033145529 | Hanging Rock Ltc, LLC | Skilled Nursing Facility | 555 Bourne Ave, Somerset, KY 42501-1915 | 2006-06-25 |
| 1477598803 | Somerset Ridge Limited Partnership | Skilled Nursing Facility | 455 Brayton Ave, Somerset, MA 02726-2642 | 2006-06-19 |
| 1326037938 | Somerset Manor L L C | Skilled Nursing Facility | 106 Gover St, Somerset, KY 42501-3332 | 2005-10-17 |
| 1992793509 | Clifton Geriatric Center | Skilled Nursing Facility | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2005-10-07 |
| Find all providers in SOMERSET | ||||
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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.