ARBUTUS PARK MANOR (NPI# 1497824064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497824064 |
| Entity Type | Organization |
| Organization Name | ARBUTUS PARK MANOR |
| Practice Address |
207 Ottawa Street Johnstown PA 15904-2337 |
| Practice Telephone | 8142668621 |
| Practice Fax Number | 8142665478 |
| Mailing Telephone | 8142668621 |
| Mailing Fax Number | 8142665478 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2012-01-17 |
| Authorized Official Name | RICHARD W WILSON (ADMINSTRATOR) |
| Authorized Official Telephone | 8142668621 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 012002 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE CROSS BLUE SHIELD | 1328 | 01 |
| PA | 0007549770001 | 05 |
| Street Address |
207 OTTAWA STREET |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
| 1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
| 1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
| 1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
| 1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| Find all providers in zip 15904 | ||||
| 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 |
|---|---|---|---|---|
| 1740231059 | Ggnsc Johnstown Lp | Skilled Nursing Facility | 349 Vo Tech Dr, Johnstown, PA 15904-2926 | 2006-05-12 |
| 1780668079 | Good Samaritan Medical Center of Johnstown | Skilled Nursing Facility | 1017 Franklin St, Johnstown, PA 15905-4110 | 2005-12-01 |
| 1265423727 | Zandex Health Care Corp | Skilled Nursing Facility | 267 North Main Street, Johnstown, OH 43031 | 2005-11-03 |
| 1588662936 | Laurel Wood Care Center, LLC | Skilled Nursing Facility | 100 Woodmont Rd, Johnstown, PA 15905-1342 | 2005-07-11 |
| 1831192228 | Allegheny Lutheran Social Ministries Inc. | Skilled Nursing Facility | 807 Goucher St, Johnstown, PA 15905-2900 | 2005-05-31 |
| 1194204917 | Villa Crest LLC | Skilled Nursing Facility | 1451 Frankstown Rd, Johnstown, PA 15902-1318 | 2018-08-13 |
| 1093261463 | Guardian Elder Care At Johnstown LLC | Skilled Nursing Facility | 349 Vo Tech Dr, Johnstown, PA 15904-2926 | 2016-08-26 |
| 1699147603 | Westmont Woods, Lp | Skilled Nursing Facility | 787 Goucher St, Johnstown, PA 15905-3028 | 2015-10-29 |
| 1518010875 | Wells Nursing Home Inc. | Skilled Nursing Facility | 201 W Madison Ave, Johnstown, NY 12095-2806 | 2007-01-19 |
| 1164509261 | Dlp Conemaugh Memorial Medical Center LLC | Skilled Nursing Facility | 320 Main St, Johnstown, PA 15901-1601 | 2006-11-01 |
| Find all providers in JOHNSTOWN | ||||
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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.