BRADFORD COUNTY COMMISSIONERS (NPI# 1407885569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407885569 |
| Entity Type | Organization |
| Organization Name | BRADFORD COUNTY COMMISSIONERS |
| Other Organization Name | BRADFORD COUNTY MANOR |
| Practice Address |
15900 Route 6 Troy PA 16947-9308 |
| Practice Telephone | 5702974111 |
| Practice Fax Number | 5702970717 |
| Mailing Telephone | 5702974111 |
| Mailing Fax Number | 5702970717 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | LOUANN SIMPSON (ADMINISTRATOR) |
| Authorized Official Telephone | 5702974111 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
PA | Suppliers | |
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
PA | Suppliers | |
| Y | 314000000X | Skilled Nursing Facility | 022302 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000072830011 | 05 |
| Other Name | Type Code |
|---|---|
| Bradford County Manor | Doing Business As Name - Organization |
| Bradford County Manor Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
15900 ROUTE 6 |
| City | TROY |
| State | PA |
| Zip Code | 16947-9308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562984 | Micaela R Weber | Occupational Therapy Assistant | 15900 Route 6, Troy, PA 16947-9308 | 2020-09-11 |
| 1184267569 | Zachary Taylor Osborne | Physical Therapy Assistant | 15900 Route 6, Troy, PA 16947-9308 | 2019-10-18 |
| 1700446556 | Nicole Willets | Occupational Therapy Assistant | 15900 Route 6, Troy, PA 16947-9308 | 2019-06-14 |
| 1386209930 | Raychelle Mary Ulmer | Occupational Therapy Assistant | 15900 Route 6, Troy, PA 16947-9308 | 2019-05-08 |
| 1417411661 | Sarah Marie Dudrich | Clinic/Center | 15900 Route 6, Troy, PA 16947-9308 | 2019-01-22 |
| 1679046403 | Nicole Boyer | Occupational Therapy Assistant | 15900 Route 6, Troy, PA 16947-9308 | 2019-01-03 |
| 1275005431 | Joyce Lynn Rubeck | Physical Therapy Assistant | 15900 Route 6, Troy, PA 16947-9308 | 2018-12-27 |
| 1689142457 | Melissa Greenfield | Occupational Therapy Assistant | 15900 Route 6, Troy, PA 16947-9308 | 2018-11-09 |
| 1821239435 | Melinda May Coates | Occupational Therapist | 15900 Route 6, Troy, PA 16947-9308 | 2009-03-11 |
| 1871617480 | Pamela R. Cowan | Speech-Language Pathologist | 15900 Route 6, Troy, PA 16947-9308 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699249284 | Jodey Lynn Buchanan | Occupational Therapist | 15900 Us- 6, Troy, PA 16947 | 2019-01-16 |
| 1902378953 | Katelin Elizabeth Thompson | Occupational Therapy Assistant | 15900 Us-6, Troy, PA 16947 | 2018-12-31 |
| 1821565029 | Martha Lloyd Intermediate Care Facility | Intermediate Care Facility, Mentally Retarded | 76 Coppertree Ln, Troy, PA 16947 | 2018-10-26 |
| 1801050950 | Martha Lloyd Crf Sugar Creek | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 60 Ballard St, Troy, PA 16947 | 2008-07-17 |
| 1679737803 | Martha Lloyd Crf Ms House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Ballard St, Troy, PA 16947 | 2008-07-16 |
| 1407010986 | Martha Lloyd Crf Brookside | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 70 Ballard St, Troy, PA 16947 | 2008-07-15 |
| 1851555338 | Martha Lloyd Crf Brown House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 165 W Main Street, Troy, PA 16947 | 2008-07-15 |
| 1235323973 | Sarah Maxwell Gates | Psychologist | 122 Elmira Street, Suite B, Troy, PA 16947 | 2007-09-05 |
| 1073525069 | Jason D Munitz Od & Scott Rutkoski Od Ptr | Optometrist | 547 Canton Street, Suite 1, Troy, PA 16947 | 2006-08-11 |
| 1396777074 | Paul Jacob Hamburger | Chiropractor | 145 West Main Street, Troy, PA 16947 | 2006-07-06 |
| Find all providers in zip 16947 | ||||
| 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 |
|---|---|---|---|---|
| 1538798731 | Windemere Park of Troy Operations LLC | Skilled Nursing Facility | 5990 N Adams Rd, Troy, MI 48098-2377 | 2020-04-08 |
| 1174754204 | David Simon Newton | Skilled Nursing Facility | 496 Tanner Dr, Troy, MI 48085-4714 | 2009-08-06 |
| 1528203924 | Troy Health & Rehab | Skilled Nursing Facility | 515 Elba Hwy, Troy, AL 36079-5013 | 2008-12-13 |
| 1285840157 | Troy Crossings LLC | Skilled Nursing Facility | 2405 15th Street, Troy, NY 12180 | 2007-05-15 |
| 1144305236 | Heartland-oakland Mi LLC | Skilled Nursing Facility | 925 W South Blvd, Troy, MI 48085-1502 | 2006-10-26 |
| 1285646208 | N & R of Troy LLC | Skilled Nursing Facility | 200 Thompson Drive, Troy, MO 63379-2308 | 2006-08-12 |
| 1295770683 | Troy Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 49 Marvin Ave, Troy, NY 12180-6425 | 2006-06-18 |
| 1609820265 | The James A. Eddy Memorial Geriatric Center, Inc. | Skilled Nursing Facility | 2256 Burdett Ave, Troy, NY 12180-2400 | 2006-05-19 |
| 1356395909 | Heritage House Nursing Center, Inc | Skilled Nursing Facility | 2920 Tibbits Ave, Troy, NY 12180-7077 | 2006-05-19 |
| 1184699258 | Uvmc Nursing Care, Inc | Skilled Nursing Facility | 3232 N County Road 25a, Troy, OH 45373-1338 | 2006-02-21 |
| Find all providers in TROY | ||||
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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.