PINEVIEW COMMONS, LLC (NPI# 1457438863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457438863 |
Entity Type | Organization |
Organization Name | PINEVIEW COMMONS, LLC |
Other Organization Name | PINEVIEW COMMONS HOME FOR ADULTS |
Practice Address |
201 S Melcher St Johnstown NY 12095-2820 |
Practice Telephone | 5187625488 |
Practice Fax Number | 5187625583 |
Mailing Telephone | 5187625488 |
Mailing Fax Number | 5187625583 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2008-02-14 |
Authorized Official Name | MS. KARA VOLLLMER (ADMINISTRATOR) |
Authorized Official Telephone | 5187625488 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
280-F-034 | NY | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02205012 | 05 | |
NY | 02066773 | 05 | |
NY | 01726998 | 05 |
Other Name | Type Code |
---|---|
Pineview Commons Home For Adults | Doing Business As Name - Organization |
Street Address |
201 S MELCHER ST |
City | JOHNSTOWN |
State | NY |
Zip Code | 12095-2820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245713619 | Kayla Brooks | Registered Nurse | 465 South Perry St., Johnstown, NY 12095 | 2018-09-12 |
1134676729 | Billie Jo Loveless | Rehabilitation Unit | 6 East Clinton Street, Apt 1, Johnstown, NY 12095 | 2016-09-01 |
1427447499 | Cynthia Ann Lockrow | Counselor | 2-8 West Main Street, Johnstown, NY 12095 | 2015-01-14 |
1700282563 | Karie Nasser | Occupational Therapist | 201 W. Madison Avenue, Johnstown, NY 12095 | 2014-11-06 |
1063772838 | St. Mary's Healthcare | Internal Medicine | 700 South Perry St, Johnstown, NY 12095 | 2012-05-25 |
1801163654 | Maryerin Johneen Agard | Rehabilitation Hospital | Route 67, Hfm Boces, Johnstown, NY 12095 | 2011-11-22 |
1497053672 | Erin Kelly Drobnack | Occupational Therapist | 2755 St Rt 67, Johnstown, NY 12095 | 2011-03-11 |
1407180649 | Clara Mae Smith | Licensed Practical Nurse | 3462 State Highway 29, Johnstown, NY 12095 | 2009-09-21 |
1770730061 | Sarah Elizabeth Liporace | Speech-Language Pathologist | 2714 Ny-29, Johnstown, NY 12095 | 2008-08-19 |
1730335761 | Willing Helpers Home for Women Inc. | Assisted Living Facility | 226 West Madison Ave., Johnstown, NY 12095 | 2008-08-11 |
Find all providers in zip 12095 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
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1417557828 | Kenwood Manor Inc | Custodial Care Facility | 141 Rockefeller Rd, Delmar, NY 12054-2221 | 2020-10-27 |
1336748383 | Jjj Yaut, LLC | Custodial Care Facility | 4806 Ny 52, Jeffersonville, NY 12748 | 2020-10-21 |
1528683463 | Hanmaum Daycare LLC | Custodial Care Facility | 3238 148th St, Flushing, NY 11354-3259 | 2020-06-16 |
1538700158 | Parkview Hfa, Inc. | Custodial Care Facility | 3200 Bronx Blvd, Bronx, NY 10467-6305 | 2019-10-04 |
1457903437 | Prime Social Day Care | Custodial Care Facility | 1918 1st Ave 1st Floor, New York, NY 10029 | 2019-07-10 |
1477116457 | Caroline S Reuben | Custodial Care Facility | 17108 Jamaica Ave, Jamaica, NY 11432-5428 | 2019-04-16 |
1255898979 | Yan K Chan | Custodial Care Facility | 6504 Bay Pkwy, Brooklyn, NY 11204-3931 | 2019-02-28 |
1609357284 | Sun Sunshine Adult Daycare Ctr Inc | Custodial Care Facility | 738 58th St, Brooklyn, NY 11220-3917 | 2018-08-22 |
1285113548 | The House of Hope | Custodial Care Facility | 31 Standish Rd, Valley Stream, NY 11580-1131 | 2018-08-08 |
1083112940 | True Quality Care | Custodial Care Facility | 1616 Chili Ave, Rochester, NY 14624-3246 | 2018-01-25 |
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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.