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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 02913 | NH | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 30001121 | 05 |
Other Name | Type Code |
---|---|
The Edgewood Centre | Doing Business As Name - Organization |
Street Address |
928 SOUTH ST |
City | PORTSMOUTH |
State | NH |
Zip Code | 03801-5421 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295904399 | Peter S Dicks | Internal Medicine | 928 South St, Edgewood Ctr, Portsmouth, NH 03801 | 2008-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
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 |
1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
Find all providers in zip 03801 |
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 |
---|---|---|---|---|
1760015119 | Mikaylah Lang | Skilled Nursing Facility | 4505 Georgewashington Hwy, Portsmouth, VA 23702 | 2020-02-13 |
1669713897 | Med-systems of Portsmouth LLC | Skilled Nursing Facility | 1319 Spring St, Portsmouth, OH 45662-3715 | 2013-03-13 |
1437195450 | Thi of Ohio At Golden Years LLC | Skilled Nursing Facility | 2125 Royce St, Portsmouth, OH 45662-4714 | 2006-06-20 |
1275578163 | Heartland of Portsmouth Oh LLC | Skilled Nursing Facility | 20 Easter Dr, Portsmouth, OH 45662-8659 | 2006-06-17 |
1881645182 | Ggnsc Portsmouth LLC | Skilled Nursing Facility | 900 London Blvd, Portsmouth, VA 23704-2236 | 2006-05-12 |
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 |
1548744287 | Portsmouth Healthcare LLC | Skilled Nursing Facility | 20 Easter Dr, Portsmouth, OH 45662-8659 | 2018-09-19 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 03801 |
Please comment or provide details below to improve the information on EDGEWOOD MANOR INC.
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.