NEWARK MANOR NURSING HOME, INC. (NPI# 1407851629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407851629 |
| Entity Type | Organization |
| Organization Name | NEWARK MANOR NURSING HOME, INC. |
| Other Organization Name | NEWARK MANOR NURSING HOME |
| Practice Address |
222 W Pearl St Newark NY 14513-1048 |
| Mailing Address |
740 East Ave Rochester NY 14607-2107 |
| Practice Telephone | 3153314690 |
| Practice Fax Number | 3153318947 |
| Mailing Telephone | 5852440410 |
| Mailing Fax Number | 5852441208 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2015-09-24 |
| Authorized Official Name | MR. ROBERT W HURLBUT (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5852440410 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 5820301 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00355697 | 05 |
| Other Name | Type Code |
|---|---|
| Newark Manor Nursing Home | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NEWARK MANOR NURSING HOME, INC. | 740 East Avenue, Rochester, Ny 14607 |
| Street Address |
222 W PEARL ST |
| City | NEWARK |
| State | NY |
| Zip Code | 14513-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940268 | Nicole M Depuyt | Student in an Organized Health Care Education/Training Program | 222 W Pearl St, Newark, NY 14513-1099 | 2020-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
| Find all providers in zip 14513 | ||||
| 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 |
|---|---|---|---|---|
| 1225329170 | Genesis | Skilled Nursing Facility | 167 Darling St, Newark, DE 19702-3761 | 2011-04-27 |
| 1649315565 | Forest Hill Health Care Center, Inc. | Skilled Nursing Facility | 497 Mount Prospect Ave, Newark, NJ 07104-2903 | 2007-02-20 |
| 1174688287 | Generation Health & Rehabilitation | Skilled Nursing Facility | 1450 W. Main Street, Newark, OH 43055-3653 | 2006-12-27 |
| 1780752568 | Newark Wayne Community Hospital | Skilled Nursing Facility | 100 Sunset Dr, Newark, NY 14513-1068 | 2006-12-01 |
| 1366537185 | Exceptional Care for Children | Skilled Nursing Facility | 11 Independence Way, Newark, DE 19713 | 2006-10-04 |
| 1659394054 | Kindred Nursing Centers East, L.L.C. | Skilled Nursing Facility | 75 Mcmillen Dr, Newark, OH 43055-1808 | 2006-07-26 |
| 1467411850 | Lpn Health Care Facility Inc | Skilled Nursing Facility | 151 Price Rd, Newark, OH 43055-3317 | 2006-03-22 |
| 1306820691 | Chs - Arlington, Inc | Skilled Nursing Facility | 98 S 30th St, Newark, OH 43055-1940 | 2005-12-01 |
| 1003898636 | New Community Health Care, Inc. | Skilled Nursing Facility | 266 S Orange Ave, Newark, NJ 07103-2457 | 2005-11-18 |
| 1922097476 | Autumn Health Care of Newark | Skilled Nursing Facility | 17 Forry Street, Newark, OH 43055 | 2005-10-18 |
| Find all providers in NEWARK | ||||
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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.