EDEN PARK HEALTH SERVICES, INC. (NPI# 1407926561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407926561 |
Entity Type | Organization |
Organization Name | EDEN PARK HEALTH SERVICES, INC. |
Other Organization Name | EDEN PARK HEALTH CARE CENTER |
Practice Address |
136 Parkway Dr Cobleskill NY 12043-5150 |
Mailing Address |
22 Holland Ave Albany NY 12209-1713 |
Practice Telephone | 5182343557 |
Mailing Telephone | 5184364731 |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-08-22 |
Authorized Official Name | ROBERT GLOCK (PRESIDENT) |
Authorized Official Telephone | 5184364731 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 4720301N | NY | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00312318 | 05 |
Other Name | Type Code |
---|---|
Eden Park Health Care Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790855864 | Eden Park Health Services, Inc. | Skilled Nursing Facility | 154 Jefferson Hts, Catskill, NY 12414-1215 | 2006-11-08 |
1619047750 | Eden Park Health Services, Inc. | Skilled Nursing Facility | 1800 Butterfield Ave, Utica, NY 13501-5610 | 2006-11-08 |
1093885147 | Eden Park Health Services, Inc. | Skilled Nursing Facility | 170 Warren St, Glens Falls, NY 12801-4525 | 2006-11-08 |
1548330624 | Eden Park Health Services, Inc. | Skilled Nursing Facility | 100 Franklin St, Poughkeepsie, NY 12601-4341 | 2006-11-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | EDEN PARK HEALTH SERVICES, INC. | 7300 Oleander Ave, Port St Lucie, Fl 34952 |
Street Address |
136 PARKWAY DR |
City | COBLESKILL |
State | NY |
Zip Code | 12043-5150 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093362915 | Mary Imogene Bassett Hospital | Clinic/Center | 136 Parkway Dr, Cobleskill, NY 12043-5150 | 2019-08-26 |
1659847861 | Karen Jean Brown | Physician Assistant | 136 Parkway Dr, Cobleskill, NY 12043-5150 | 2018-10-16 |
1316412026 | Nomi-kaie Bennett | Psychologist | 136 Parkway Dr, Cobleskill, NY 12043-5150 | 2018-10-09 |
1992055750 | Fnu Tabasum Nazir | Family Medicine | 136 Parkway Dr, Cobleskill, NY 12043-5150 | 2012-09-19 |
1619265147 | Stephanie Cashdollar | Physician Assistant | 136 Parkway Dr, Cobleskill, NY 12043-5150 | 2011-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265816656 | Schoharie County Community Action Program, Inc | Case Management | 795 East Main Street, Suite 5, Cobleskill, NY 12043 | 2015-07-15 |
1215212196 | Kathryn Scott | Physical Therapist | 143 Golding Dr, Ryder Elementary, Cobleskill, NY 12043 | 2011-10-11 |
1255633897 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 726 East Main Street, Cobleskill, NY 12043 | 2010-12-02 |
1134452675 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 132 Macarthur Dr., Cobleskill, NY 12043 | 2009-09-16 |
1164755161 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 45 Five Mile Woods Rd, Catskill, NY 12043 | 2009-09-09 |
1407004542 | David M Goodrich I | Pharmacist | 105 Plazza Lane, Price Chopper Pharmacy, Cobleskill, NY 12043 | 2008-09-03 |
1891985768 | Thomas W Greenlees | Preventive Medicine | 170 Mineral Springs Road, Box 910, Cobleskill, NY 12043 | 2007-07-27 |
1518022375 | Cobleskill-richmondville Central School | Local Education Agency (LEA) | 155 Washington Ave., Cobleskill, NY 12043 | 2006-12-22 |
1831259514 | Mary Diane Radliff | Nurse Practitioner | 130 Albany Ave, Cobleskill, NY 12043 | 2006-12-11 |
1689748378 | Jay Vickers Dewell Sr. | Family Medicine | 133 Legion Drive, Cobleskill, NY 12043 | 2006-11-17 |
Find all providers in zip 12043 |
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. |
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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 |
Find all providers with the same taxonomy |
City | COBLESKILL |
Zip Code | 12043 |
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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.