PLATINUM RIDGE PA MANAGEMENT, LLC (NPI# 1508365990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508365990 |
| Entity Type | Organization |
| Organization Name | PLATINUM RIDGE PA MANAGEMENT, LLC |
| Other Organization Name | PLATINUM RIDGE WELLNESS AND REHABILITATION CENTER |
| Practice Address |
1050 Broadview Blvd Brackenridge PA 15014-1216 |
| Mailing Address |
1981 Marcus Ave Ste C129 New Hyde Park NY 11042-1017 |
| Practice Telephone | 7242249200 |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |
| Authorized Official Name | PHILIP FRIEDMAN (MANAGING MEMBER) |
| Authorized Official Telephone | 5165965222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Platinum Ridge Wellness and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
1050 BROADVIEW BLVD |
| City | BRACKENRIDGE |
| State | PA |
| Zip Code | 15014-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033150487 | Hoosier Health Care, Inc | Skilled Nursing Facility | 1050 Broadview Blvd, Brackenridge, PA 15014-1216 | 2006-06-09 |
| 1295165223 | Highland Operating Cr LLC | Skilled Nursing Facility | 1050 Broadview Blvd, Brackenridge, PA 15014-1216 | 2013-11-12 |
| 1780823880 | Stacy Marla Stefanik | Occupational Therapy Assistant | 1050 Broadview Blvd, Brackenridge, PA 15014-1216 | 2009-02-12 |
| 1528206919 | Eli Charles Campbell | Physical Therapy Assistant | 1050 Broadview Blvd, Brackenridge, PA 15014-1216 | 2009-01-23 |
| 1295972727 | Jennifer Lynn Sylvester | Physical Therapy Assistant | 1050 Broadview Blvd, Brackenridge, PA 15014-1216 | 2009-01-21 |
| 1851585897 | Laura Helen Scassera | Physical Therapist | 1050 Broadview Blvd, Brackenridge, PA 15014-1216 | 2007-09-04 |
| 1164547980 | David Burian | Physical Therapy Assistant | 1050 Broadview Blvd, Brackenridge, PA 15014-1216 | 2007-03-20 |
| 1649394206 | Sofia Greb | Speech-Language Pathologist | 1050 Broadview Blvd, Brackenridge, PA 15014-1216 | 2007-03-19 |
| 1851415343 | Cynthia Marie Ferguson | Speech-Language Pathologist | 1050 Broadview Blvd, Brackenridge, PA 15014-1216 | 2007-03-19 |
| 1235253535 | Jessica Collini | Occupational Therapist | 1050 Broadview Blvd, Brackenridge, PA 15014-1216 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881023471 | Eastern Regional Emergency Medical Services,llc | Ambulance | 863 1st Ave, Brackenridge, PA 15014 | 2013-11-05 |
| 1245587435 | Katie E Bowser | Physical Therapist | 1030 Broadview Blvd Ste 1, Brackenridge, PA 15014 | 2012-08-07 |
| 1609807460 | Burkett Chiropractic Clinic | Chiropractor | 700 Freeport Road, Brackenridge, PA 15014 | 2006-07-06 |
| 1740264076 | Joel H Burkett | Chiropractor | 700 Freeport Rd, Brackenridge, PA 15014 | 2005-11-30 |
| 1396144762 | Justin Shemenski | Chiropractor | 825 Freeport Rd, Brackenridge, PA 15014 | 2014-08-21 |
| 1639703184 | One Life Wellness Company | Chiropractor | 700 10th Ave, Brackenridge, PA 15014-1042 | 2020-02-24 |
| 1790960003 | Frank Joseph Borkowski | Dentist | 726 10th Ave, Brackenridge, PA 15014-1042 | 2008-01-04 |
| 1538435177 | Dawn Alicia Spale | Chiropractor | 825 Freeport Rd, Brackenridge, PA 15014-1085 | 2012-03-28 |
| 1699049353 | Allegheny Medical & Wellness Associates, LLC | Specialist | 825 10th Ave, Brackenridge, PA 15014-1085 | 2012-02-28 |
| 1407380652 | Dzs Medical | Chiropractor | 825 Freeport Rd, Brackenridge, PA 15014-1085 | 2017-04-14 |
| Find all providers in zip 15014 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557978 | Sheltering Arms Lean On We | Custodial Care Facility | 469 Alcott St, Philadelphia, PA 19120-1101 | 2020-08-07 |
| 1104462985 | Better Life Home Care Group | Custodial Care Facility | 233 Sherbrook Blvd, Upper Darby, PA 19082-4606 | 2019-11-27 |
| 1649675257 | Life Force Eldercare Corp | Custodial Care Facility | 3544 W Chester Pike, Suite 216, Newtown Square, PA 19073-4107 | 2014-10-24 |
| 1528495595 | Thomas C Detweiler,md | Custodial Care Facility | 2405 N Broad St, Colmar, PA 18915-9406 | 2013-10-04 |
| 1922324649 | Companions for You, Inc. | Custodial Care Facility | 6124 W Jefferson St, Philadelphia, PA 19151-3902 | 2010-04-20 |
| 1699902783 | Fcc Allenwood | Custodial Care Facility | Route 15 Russell Road, Allenwood, PA 17810-2500 | 2009-06-16 |
| 1295982585 | Precious Moments Personal Care Home, Inc. | Custodial Care Facility | 245 Center Street, Clarksville, PA 15322 | 2008-08-19 |
| 1790949030 | Rolls Personal Care Home | Custodial Care Facility | 47 River Ave, Masontown, PA 15461-1963 | 2008-07-16 |
| 1184888083 | The Good Samaritan | Custodial Care Facility | 450 Crucible Rd, Rices Landing, PA 15357-2151 | 2008-07-10 |
| 1851562870 | Haneys Personal Care Home | Custodial Care Facility | 330 Carmichaels St, Rices Landing, PA 15357-2155 | 2008-03-18 |
| Find all providers with the same taxonomy | ||||
| City | BRACKENRIDGE |
| Zip Code | 15014 |
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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.