EDEN PARK HEALTH SERVICES, INC.


Address: 136 Parkway Dr, Cobleskill, NY 12043-5150
Phone: 5182343557

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 4720301N NY Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 00312318 05

Other Provider/Organization Names

Other Name Type Code
Eden Park Health Care Center Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations EDEN PARK HEALTH SERVICES, INC. 7300 Oleander Ave, Port St Lucie, Fl 34952

Office Location

Street Address 136 PARKWAY DR
City COBLESKILL
State NY
Zip Code 12043-5150

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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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1659936334 Nelson Tannis Skilled Nursing Facility 165 Broadway, New York, NY 10006-1404 2019-05-07
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
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Competitor

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City COBLESKILL
Zip Code 12043

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Dataset Information

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.

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