BETHANY OPERATING CO LLC (NPI# 1447257449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447257449 |
| Entity Type | Organization |
| Organization Name | BETHANY OPERATING CO LLC |
| Practice Address |
800 W Chestnut St Rome NY 13440-2364 |
| Practice Telephone | 3153393210 |
| Practice Fax Number | 3153396927 |
| Mailing Telephone | 3153393210 |
| Mailing Fax Number | 3153396927 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2014-02-27 |
| Authorized Official Name | MR. JONATHAN GEWIRTZ (FISCAL OVERSIGHT) |
| Authorized Official Telephone | 9145888379 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 003201303N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OPERATING CERTIFICATE | 003201303N | 01 |
| NY | PFI | 0594 | 01 |
| NY | 00312785 | 05 |
| Street Address |
800 W CHESTNUT ST |
| City | ROME |
| State | NY |
| Zip Code | 13440-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| 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 |
|---|---|---|---|---|
| 1124633268 | Lavender Mountain Senior Living Inc | Skilled Nursing Facility | 600 Eagle Lake Trl, Rome, GA 30165-2207 | 2020-09-15 |
| 1154457786 | Rpnh, Inc. | Skilled Nursing Facility | 950 Floyd Ave, Rome, NY 13440-4535 | 2007-02-26 |
| 1881767085 | Betsy Ross Rehabilitation Center | Skilled Nursing Facility | 1 Elsie St, Rome, NY 13440-2556 | 2006-11-16 |
| 1508948134 | Forum Group @ Mt. Berry Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 2 Three Mile Rd Ne, Rome, GA 30165-9764 | 2006-10-20 |
| 1437231099 | Forum Group At Moran Lake Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 139 Moran Lake Rd Ne, Rome, GA 30161-7767 | 2006-10-20 |
| 1093751976 | Winthrop Manor Nursing Home LLC | Skilled Nursing Facility | 12 Chateau Dr Se, Rome, GA 30161-7237 | 2006-06-21 |
| 1104876796 | Sunbridge Retirement Care Associates LLC | Skilled Nursing Facility | 809 S Broad St Sw, Rome, GA 30161-4654 | 2006-05-12 |
| 1760483606 | North Georgia Care Services, Inc | Skilled Nursing Facility | 505 N 5th Ave Sw, Rome, GA 30165-2822 | 2005-08-02 |
| 1295735272 | Chulio Hills Health & Rehab, LLC | Skilled Nursing Facility | 1170 Chulio Rd Se, Rome, GA 30161-4084 | 2005-07-29 |
| 1285199430 | Duke Equities LLC | Skilled Nursing Facility | 139 Moran Lake Rd Ne, Rome, GA 30161-7767 | 2019-02-01 |
| Find all providers in ROME | ||||
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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.