B-IX EDGEHILL SNF LLC


Address: 122 Palmers Hill Rd, Stamford, CT 06902-2134
Phone: 2033232323

B-IX EDGEHILL SNF LLC (NPI# 1437457827) 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) 1437457827
Entity Type Organization
Organization Name B-IX EDGEHILL SNF LLC
Other Organization Name EDGEHILL
Practice Address 122 Palmers Hill Rd
Stamford
CT 06902-2134
Mailing Address 201 Jones Rd Ste 300west
Waltham
MA 02451-1600
Practice Telephone 2033232323
Practice Fax Number 2033236437
Mailing Telephone 7814897106
Mailing Fax Number 7814896663
Enumeration Date 2011-03-09
Last Update Date 2018-11-28
Authorized Official Name THOMAS H GRAPE (PRESIDENT)
Authorized Official Telephone 7814897563
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility PENDING CT Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Edgehill Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations B-Ix Edgehill Snf LLC C/O Benchmark Assisted Living LLC, 40 William Street, Suite 350, Wellesley, MA 02481

Office Location

Street Address 122 PALMERS HILL RD
City STAMFORD
State CT
Zip Code 06902-2134

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437361250 Eileen Prendergast Dietitian, Registered 122 Palmers Hill Rd, Stamford, CT 06902-2134 2007-05-04
1639725690 Kelsey Zimmerman Occupational Therapist 122 Palmers Hill Rd, Stamford, CT 06902-2134 2019-08-15
1811458391 Colleen Yenke Occupational Therapist 122 Palmers Hill Rd, Stamford, CT 06902-2134 2019-03-27
1639657455 Dana Marie Nixon Speech-Language Pathologist 122 Palmers Hill Rd, Stamford, CT 06902-2134 2018-08-02
1801389481 Nicole Mandras Occupational Therapist 122 Palmers Hill Rd, Stamford, CT 06902-2134 2018-06-08
1184168601 Benjamin Mcgurk Occupational Therapist 122 Palmers Hill Rd, Stamford, CT 06902-2134 2016-12-19
1497202907 Shahirose Kapadia Physical Therapist 122 Palmers Hill Rd, Stamford, CT 06902-2134 2016-09-01
1427409606 Jyoti Gupta Physical Therapist 122 Palmers Hill Rd, Stamford, CT 06902-2134 2016-06-28
1821413998 Gregory Chase Occupational Therapist 122 Palmers Hill Rd, Stamford, CT 06902-2134 2014-02-26
1912236167 Kiran Kumar Physical Therapist 122 Palmers Hill Rd, Stamford, CT 06902-2134 2009-12-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861043242 Palak Bhambri Pharmacist 537 Canal Street, Stamford, CT 06902 2019-09-26
1730654815 Brenice Duroseau Nurse Practitioner 292 Long Ridge Rd Ste 202, Stamford, CT 06902 2018-10-04
1447732862 Ngoc Lam Pharmacist 1990 West Main Street, Stamford, CT 06902 2018-09-01
1336627264 Margaret F Gorelick Nurse Practitioner Stamford Health, One Hospital Plaza, Stamford, CT 06902 2018-08-02
1174053425 Ashley Marie Santana Social Worker 110 Commons Park N Apt 1158, Stamford, CT 06902 2017-06-19
1578090395 Anas Al-sabbagh Dentist 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 2017-05-11
1154862936 Hillary Rubin Psychologist 44 Commerce Avenue, Stamford, CT 06902 2017-03-14
1801332135 Walgreen Co Durable Medical Equipment & Medical Supplies 1 Hospital Plz Ste G122, Stamford, CT 06902 2017-01-10
1932563277 Mary Hurtadodemendoza Pharmacist 59 Courtland Ave 2m, Stamford, CT 06902 2016-04-13
1235592247 Advanced Therapy and Performance LLC Physical Medicine & Rehabilitation 75 Selleck Street, Stamford, CT 06902 2016-03-29
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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
1255851481 Stella Medical Care LLC Skilled Nursing Facility Villa At Stamford 88 Rock Rimmon Rd, Stamford, CT 06903 2017-06-20
1710295217 Regency Heights of Stamford, LLC Skilled Nursing Facility 53 Courtland Ave, Stamford, CT 06902-3401 2010-09-17
1174696017 City of Stamford Skilled Nursing Facility 88 Rock Rimmon Road, Stamford, CT 06903 2006-11-16
1154362887 Teakwood Manor, LLC Skilled Nursing Facility 1003 Columbia St, Stamford, TX 79553-6825 2006-06-10
1902844921 Hbr Stamford LLC Skilled Nursing Facility 494 Elm St, Stamford, CT 06902-5115 2006-06-03
1760432538 Ambassador Medical Supply of Texas Inc Skilled Nursing Facility 1003 Columbia Street, Stamford, TX 79553 2006-05-11
1477518074 Continuing Care Retirement Community of Great Skilled Nursing Facility 122 Palmers Hill Road, Stamford, CT 06902-2134 2006-04-18
1811995657 710 Long Ridge Road Operating Company II LLC Skilled Nursing Facility 710 Long Ridge Rd, Stamford, CT 06902-1226 2005-07-13
1316942428 Center for Continuing Care of Greater Stamford, Inc Skilled Nursing Facility 146 W Broad St, Stamford, CT 06902-3633 2005-06-15
1487292546 St Camillus Stamford Opco LLC Skilled Nursing Facility 494 Elm St, Stamford, CT 06902-5115 2019-12-19
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City STAMFORD
Zip Code 06902

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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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