EDGEWOOD MANOR INC


Address: 928 South St, Portsmouth, NH 03801-5421
Phone: 6034360099

EDGEWOOD MANOR INC (NPI# 1447312046) 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) 1447312046
Entity Type Organization
Organization Name EDGEWOOD MANOR INC
Other Organization Name THE EDGEWOOD CENTRE
Practice Address 928 South St
Portsmouth
NH 03801-5421
Mailing Address 928 South St
Portsmouth
NH 03801
Practice Telephone 6034360099
Practice Fax Number 6034362422
Mailing Telephone 6034360099
Mailing Fax Number 6034362422
Enumeration Date 2006-12-14
Last Update Date 2012-03-20
Authorized Official Name MRS. PATRICIA J CUMMINGS (ADMINISTRATOR)
Authorized Official Telephone 6037662302
Authorized Official Credential NHA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 02913 NH Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NH 30001121 05

Other Provider/Organization Names

Other Name Type Code
The Edgewood Centre Doing Business As Name - Organization

Office Location

Street Address 928 SOUTH ST
City PORTSMOUTH
State NH
Zip Code 03801-5421

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295904399 Peter S Dicks Internal Medicine 928 South St, Edgewood Ctr, Portsmouth, NH 03801 2008-02-22

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NPI Name Taxonomy Address Enumeration
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1053854224 Dewey Theodore Kahn II Specialist 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 2016-11-21
1609322635 Cvs Pharmacy Pharmacist 674 Islington Street, Portsmouth, NH 03801 2016-08-30
1164978375 Maureen Mcpadden Pharmacist 117 Bow St Unit 114, Portsmouth, NH 03801 2016-08-28
1679922579 Portsmouth Eye Pllc Optometrist 38 Daniel St., Portsmouth, NH 03801 2016-06-10
1659734127 Sarah Jean Trafton Nurse Practitioner 79 Wibird St Apt #1, Portsmouth, NH 03801 2016-04-01
1184095002 Holding Hope Healing Services, LLC. Social Worker 104 Congress St., Suite 303, Portsmouth, NH 03801 2015-10-19
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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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1437195450 Thi of Ohio At Golden Years LLC Skilled Nursing Facility 2125 Royce St, Portsmouth, OH 45662-4714 2006-06-20
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1710963459 Autumn Corporation Skilled Nursing Facility 3610 Winchester Dr, Portsmouth, VA 23707-4330 2005-12-15
1548251358 Sentara Life Care Corporation Skilled Nursing Facility 4201 Greenwood Dr, Portsmouth, VA 23701-3250 2005-11-01
1972500692 Kkj Enterprises, Inc Skilled Nursing Facility 1319 Spring Street, Portsmouth, OH 45662 2005-07-07
1205397080 Portside Health & Rehab Center, LLC Skilled Nursing Facility 4201 Greenwood Dr, Portsmouth, VA 23701-3250 2019-03-26
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Competitor

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City PORTSMOUTH
Zip Code 03801

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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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