EDEN PARK MANAGEMENT, INC.


Address: 99 Allen St, Rutland, VT 05701-4501
Phone: 8027752331

EDEN PARK MANAGEMENT, INC. (NPI# 1437229283) 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) 1437229283
Entity Type Organization
Organization Name EDEN PARK MANAGEMENT, INC.
Other Organization Name EDEN PARK OF RUTLAND
Practice Address 99 Allen St
Rutland
VT 05701-4501
Mailing Address 22 Holland Ave
Albany
NY 12209-1713
Practice Telephone 8027752331
Mailing Telephone 5184364731
Enumeration Date 2006-11-09
Last Update Date 2020-08-22
Authorized Official Name ALTON MENDLESON, JR. (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 Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
VT 0475018 05

Other Provider/Organization Names

Other Name Type Code
Eden Park of Rutland Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750451571 Eden Park Management, Inc. Skilled Nursing Facility 19 Poplar St, New Milford, CT 06776-2901 2006-11-09
1073683892 Eden Park Management, Inc. Skilled Nursing Facility 61 Bellevue Ave, Bristol, CT 06010-5815 2006-11-09
1093885840 Eden Park Management, Inc. Skilled Nursing Facility 187 Oak Grove Ave, Brattleboro, VT 05301-6642 2006-11-09

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations Eden Park Management, Inc. 45 Learned St., Albany, NY 12207
New York State Corporations EDEN PARK MANAGEMENT, INC. 3553 Sw Corporate Pkwy, Palm City, Florida 34990
Vermont Business Registrations EDEN PARK MANAGEMENT, INC. 45 Learned St, Albany, NY 12207

Office Location

Street Address 99 ALLEN ST
City RUTLAND
State VT
Zip Code 05701-4501

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639721186 All Dimensions Primary Care Pllc Physician Assistant 92 Allen Street, Rutland, VT 05701 2019-07-15
1962809053 Laura Kalinen Laprise Nurse Practitioner Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 2014-12-04
1962818781 Andrea Louise Welch Pharmacist 1 Rutland Shopping Plaza, Rutland, VT 05701 2014-07-02
1396158903 Gwendolyn Koenig Counselor 78 South Main St., Rutland, VT 05701 2014-06-11
1194088195 Marcie Bouchard Early Intervention Provider Agency 24a East Street, Rutland, VT 05701 2012-06-25
1790047009 Pamela Lenoci Massage Therapist 196 Joshua Place, Rutland, VT 05701 2012-06-12
1528339959 Deborah E. Boston Social Worker 128 Merchants Row Ste 510, Rutland, VT 05701 2012-01-17
1235431834 Alicia Marie Riesterer Occupational Therapy Assistant 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 2010-12-02
1497085401 Lauren Ann Lasante Counselor 198 N Main St Ste C-5, Rutland, VT 05701 2010-01-14
1568692515 Steven C. Duboff, Dmd, PC Dentist 198 North Main St, Rutland, VT 05701 2009-07-23
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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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871709741 Rutland Crossings LLC Skilled Nursing Facility 99 Allen Street, Rutland, VT 05701 2007-05-15
1508839531 Haven Health Center of Rutland, LLC Skilled Nursing Facility 46 Nichols St, Rutland, VT 05701-3275 2006-02-09
1255879912 Grs Skilled Nursing Facility 9 Haywood Ave, Rutland, VT 05701-4832 2017-02-02
1174774657 Forty-six Nichols Street Operations LLC Skilled Nursing Facility 46 Nichols St, Rutland, VT 05701-3275 2008-10-02
1205018694 Nine Haywood Avenue Operations LLC Skilled Nursing Facility 9 Haywood Ave, Rutland, VT 05701-4832 2007-11-28
1407892532 Mckerley Health Care Centers, Inc. Skilled Nursing Facility 9 Haywood Ave, Rutland, VT 05701-4832 2006-06-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831574052 2 Blackberry Lane Operations LLC Skilled Nursing Facility 2 Blackberry Ln, Bennington, VT 05201-2300 2015-07-29
1598153322 Cck Holdings, LLC Skilled Nursing Facility 7 Forest Hill Dr, Saint Albans, VT 05478-1615 2015-01-01
1598049454 Genesis Rehab Services Skilled Nursing Facility 296 Sheldon Road, Saint Albans, VT 05478 2011-10-10
1982918843 Genesis Healthcare Lebanon Skilled Nursing Facility 1218 South Randolph Road, Randolph Center, VT 05061 2010-08-03
1679739445 Lisa Lyn Shover Skilled Nursing Facility 63 Spring St, Newport, VT 05855-5819 2008-07-31
1518156603 Kingdom Kare Rehabilitation Center Skilled Nursing Facility Mail Stop # 500, Maple Hill Road, Barton, VT 05822-0500 2007-10-15
1952517823 Brattleboro Crossings LLC Skilled Nursing Facility 187 Oak Grove Avenue, Brattleboro, VT 05301 2007-05-15
1093885840 Eden Park Management, Inc. Skilled Nursing Facility 187 Oak Grove Ave, Brattleboro, VT 05301-6642 2006-11-09
1407934334 Starr Farm Partnership Skilled Nursing Facility 98 Starr Farm Rd, Burlington, VT 05401-1323 2006-11-01
1972691178 Silver Corporation Skilled Nursing Facility 148 Prouty Dr, Newport, VT 05855-9513 2006-10-11
Find all providers with the same taxonomy

Competitor

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City RUTLAND
Zip Code 05701

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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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