KOPSACK ASSOCIATES, INC. (NPI# 1497731335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497731335 |
| Entity Type | Organization |
| Organization Name | KOPSACK ASSOCIATES, INC. |
| Other Organization Name | ROCHESTER MANOR |
| Practice Address |
174 Virginia Ave Rochester PA 15074-1723 |
| Practice Telephone | 7247756400 |
| Practice Fax Number | 7247754386 |
| Mailing Telephone | 7247756400 |
| Mailing Fax Number | 7247754386 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. NATHAN J KOPSACK (VICE PRESIDENT) |
| Authorized Official Telephone | 7247756400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 180902 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BCBS | 494 | 01 |
| Other Name | Type Code |
|---|---|
| ROCHESTER MANOR | Doing Business As Name - Organization |
| Street Address |
174 VIRGINIA AVE |
| City | ROCHESTER |
| State | PA |
| Zip Code | 15074-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932679867 | Jodi Janette Weigand | Physical Therapist | 174 Virginia Ave, Rochester, PA 15074-1785 | 2018-12-04 |
| 1134658842 | Michael Patton | Physical Therapy Assistant | 174 Virginia Ave, Rochester, PA 15074-1723 | 2017-06-06 |
| 1962804989 | Jennifer Rollyson | Physical Therapy Assistant | 174 Virginia Ave, Rochester, PA 15074-1723 | 2014-09-22 |
| 1457753477 | Katie Hurley | Occupational Therapy Assistant | 174 Virginia Ave, Rochester, PA 15074-1723 | 2014-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922657162 | Leslie C. Yaccich | Technician | 742 Mclean Street, Rochester, PA 15074 | 2019-09-10 |
| 1366969339 | Jenna Marie George | Dietitian, Registered | 300 Brighton Avenue, Suite 110, Rochester, PA 15074 | 2017-08-29 |
| 1457759334 | Monica Joyce Dickerman | Occupational Therapist | 174 Virginia Avenue, Rochester, PA 15074 | 2014-12-09 |
| 1356501712 | Eudora Patricia Williams | Durable Medical Equipment & Medical Supplies | 454 Hamrony Ave, Rochester, PA 15074 | 2008-06-10 |
| 1629137559 | Mario A. Grippa | Chiropractor | 373 Virginia Avenue, Rochester, PA 15074 | 2006-12-06 |
| 1831691161 | Lauren Elizabeth Stone | Dental Hygienist | 176 Virginia Ave, Rochester, PA 15074 | 2018-03-02 |
| 1114297652 | Angela Marie Gilkey | Registered Nurse | 176 Virginia Ave, Rochester, PA 15074 | 2011-12-30 |
| 1326073602 | Adele Ruth Hathaway | Social Worker | 176 Virginia Ave, Wpic of Upmc Beaver Valley, Rochester, PA 15074 | 2006-07-12 |
| 1760044093 | Hidden Hill Horse Farm | Recreation Therapist | 600 Pittsburgh Rd, Rochester, PA 15074-1003 | 2019-07-08 |
| 1821061631 | Rochester Area School District | Case Management | 540 Reno St, Rochester, PA 15074-1240 | 2006-02-10 |
| Find all providers in zip 15074 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023200243 | Donna Soles | Nursing Facility/Intermediate Care Facility | 600 Island Cottage Rd, Rochester, NY 14612-2300 | 2007-08-11 |
| 1073560827 | Sunbridge Clipper Home of Rochester, LLC. | Nursing Facility/Intermediate Care Facility | 62 Rochester Hill Road, Rochester, NH 03867-3216 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710428834 | Bridget Mccaffrey | Nursing Facility/Intermediate Care Facility | 9320 Tulip St, Philadelphia, PA 19114-4017 | 2017-03-09 |
| 1073915724 | Doula | Nursing Facility/Intermediate Care Facility | 126 Dauntless Dr, Pittsburgh, PA 15235-3031 | 2014-09-24 |
| 1659653285 | Prestige Realty Services,inc. | Nursing Facility/Intermediate Care Facility | 1165 Red Fox Rd, East Stroudsburg, PA 18301-9106 | 2011-09-09 |
| 1922306885 | Genesis Healthcare Corporation | Nursing Facility/Intermediate Care Facility | 1700 Pine Street, Norristown, PA 19401-3040 | 2011-03-02 |
| 1932412582 | Nurse Sharks, Inc. | Nursing Facility/Intermediate Care Facility | 661 Byrnedale Rd, Weedville, PA 15868-1515 | 2010-07-23 |
| 1427200740 | Shelley Ann Redding | Nursing Facility/Intermediate Care Facility | 2029 Wesgate Dr, Bethlehem, PA 18017 | 2008-10-17 |
| 1427200146 | Manor Care Nursing and Rehabilitaion Center | Nursing Facility/Intermediate Care Facility | 130 Dewey St, Etna, PA 15223-1745 | 2008-10-13 |
| 1164670998 | Joyce Ann Malloy | Nursing Facility/Intermediate Care Facility | 23 Craighead St, Pittsburgh, PA 15211-2103 | 2008-09-04 |
| 1588856009 | Friends Home In Kennett/linden Hall | Nursing Facility/Intermediate Care Facility | 147 W State St, Kennett Square, PA 19348-3022 | 2007-08-17 |
| 1417162348 | Alpine Manor, Inc. | Nursing Facility/Intermediate Care Facility | 4114 Schaper Ave, Erie, PA 16508-3350 | 2007-05-14 |
| Find all providers with the same taxonomy | ||||
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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.