PARKDALE MANOR INCORPORATED


Address: 814 W South Ave, Maryville, MO 64468-2772
Phone: 6605828161

PARKDALE MANOR INCORPORATED (NPI# 1497850978) 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) 1497850978
Entity Type Organization
Organization Name PARKDALE MANOR INCORPORATED
Other Organization Name PARKDALE MANOR CARE CENTER
Practice Address 814 W South Ave
Maryville
MO 64468-2772
Practice Telephone 6605828161
Practice Fax Number 6605822798
Mailing Telephone 6605828161
Mailing Fax Number 6605822798
Enumeration Date 2006-09-13
Last Update Date 2016-11-23
Authorized Official Name BENJAMIN C. SCHEULEN (CEO)
Authorized Official Telephone 5735566240
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 015686 MO Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO 106867104 05

Other Provider/Organization Names

Other Name Type Code
Parkdale Manor Care Center Doing Business As Name - Organization

Office Location

Street Address 814 W SOUTH AVE
City MARYVILLE
State MO
Zip Code 64468-2772

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558924639 Steven Edward Smyser Physical Therapy Assistant 814 W South Ave, Maryville, MO 64468-2772 2019-04-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619315603 William Sean Prescott Counselor 318 North Main, Maryville, MO 64468 2013-06-12
1215284617 Janet Luzmoor Counselor 109 East Summit Dr, Maryville, MO 64468 2012-08-06
1629336177 Kristi Renee White Social Worker 423 N Market St, Maryville, MO 64468 2012-05-02
1285942474 Kyle William Bowers Physical Therapist 2016 South Main Street, Maryville, MO 64468 2010-09-22
1861600660 Debra Anne Hopkins Physical Therapist 2416 South Main St, Maryville, MO 64468 2007-05-18
1023235975 Susan Kay Grispino Occupational Therapist Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 2007-04-20
1760542567 North West Missouri State University Clinic/Center 800 University Drive, Maryville, MO 64468 2006-12-11
1528154994 Bruce E Twaddle Dentist 231 Summit Drive, Maryville, MO 64468 2006-10-05
1669588075 Stanley David Snyder Dentist 2825 South Main Street, Maryville, MO 64468 2006-08-21
1710906896 Ileen Richey-arellin Social Worker 109 E Summit Drive, Family Guidance Center, Maryville, MO 64468 2006-07-19
Find all providers in zip 64468

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619295409 Tiffany Care Centers, Inc. Skilled Nursing Facility 22371 State Highway 46, Maryville, MO 64468-8157 2010-05-04
1346261435 Kindred Nursing Centers Limited Partnership Skilled Nursing Facility 307 N 5th St, Maryville, TN 37804-2921 2006-07-22
1174544258 Kindred Nursing Centers Limited Partnership Skilled Nursing Facility 1012 Jamestown Way, Maryville, TN 37803-5865 2006-07-22
1881625804 Colonial Development, Inc. Skilled Nursing Facility 2034 Cochran Rd, Maryville, TN 37803-2807 2006-07-06
1831138890 Elmwood Nursing & Rehabilitation Center, L.L.C. Skilled Nursing Facility 152 Wilma Dr, Maryville, IL 62062-5435 2006-06-05
1902853658 Beverly Enterprises - Missouri Inc Skilled Nursing Facility 524 N Laura St, Maryville, MO 64468-1955 2006-05-28
1164498994 Blount Memorial Hospital, Inc. Skilled Nursing Facility 2320 E Lamar Alexander Pkwy, Maryville, TN 37804-5316 2006-02-23
1346212024 Asbury, Inc. Skilled Nursing Facility 2648 Sevierville Rd, Maryville, TN 37804-3643 2006-02-06
1467449413 Village Care Center, Inc Skilled Nursing Facility 810 E Edwards St, Maryville, MO 64468-2917 2005-10-04
1013904366 Unlimited Development, Inc Skilled Nursing Facility 6955 State Route 162, Maryville, IL 62062-8531 2005-10-03
Find all providers in MARYVILLE

Competitor

Search similar providers

City MARYVILLE
Zip Code 64468

Improve Information

Please comment or provide details below to improve the information on PARKDALE MANOR INCORPORATED.

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.

Trending Searches