WESBURY UNITED METHODIST COMMUNITY (NPI# 1518919778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518919778 |
| Entity Type | Organization |
| Organization Name | WESBURY UNITED METHODIST COMMUNITY |
| Practice Address |
31 Park Ave Meadville PA 16335-9440 |
| Practice Telephone | 8143329000 |
| Practice Fax Number | 8143332163 |
| Mailing Telephone | 8143329000 |
| Mailing Fax Number | 8143332163 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRIAN S NAGEOTTE (CFO) |
| Authorized Official Telephone | 8143329000 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 314000000X | Skilled Nursing Facility | 990902 | PA | Nursing & Custodial Care Facilities |
| X | 310400000X | Assisted Living Facility | 447730 | PA | Nursing & Custodial Care Facilities |
| X | 311500000X | Alzheimer Center (Dementia Center) | 2324 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0009824080002 | 05 | |
| PA | BLUE CROSS | 0678 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750803409 | Wesbury United Methodist Community | Home Health | 900 Water St Ste 19, Meadville, PA 16335-3428 | 2017-07-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WESBURY UNITED METHODIST COMMUNITY | 31 Park Ave, Meadville, PA 16335-9440 |
| Street Address |
31 PARK AVE |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-9440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013456 | Donna F Clayton | Occupational Therapy Assistant | 31 Park Ave, Meadville, PA 16335-9435 | 2020-11-03 |
| 1205435294 | Leslie Youngo | Occupational Therapy Assistant | 31 Park Ave, Meadville, PA 16335-9435 | 2020-10-20 |
| 1316545205 | Alexis Smith | Physical Therapy Assistant | 31 Park Ave, Meadville, PA 16335-9435 | 2020-10-13 |
| 1154697761 | Jessica Roach Williams | Occupational Therapist | 31 Park Ave, Meadville, PA 16335-9435 | 2012-03-28 |
| 1487929055 | Kristy Arrigan | Physical Therapy Assistant | 31 Park Ave, Meadville, PA 16335-9435 | 2012-03-15 |
| 1871878603 | Sara Vandee | Physical Therapy Assistant | 31 Park Ave, Meadville, PA 16335-9435 | 2011-10-12 |
| 1356637920 | Rodney Wayne Miller | Physical Therapist | 31 Park Ave, Meadville, PA 16335-9435 | 2011-06-22 |
| 1356636930 | Jeanine E Malarik | Occupational Therapist | 31 Park Ave, Meadville, PA 16335-9435 | 2011-06-13 |
| 1083909642 | Lucy Cacchione | Occupational Therapist | 31 Park Ave, Meadville, PA 16335-9435 | 2011-06-12 |
| 1801180609 | Loretta Lyn Marsh | Physical Therapy Assistant | 31 Park Ave, Meadville, PA 16335-9435 | 2011-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
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| 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 |
|---|---|---|---|---|
| 1073564274 | Ggnsc Meadville Lp | Skilled Nursing Facility | 14714 Park Avenue Ext, Meadville, PA 16335-9400 | 2006-05-12 |
| 1700872579 | Meadville LLC | Skilled Nursing Facility | 300 Highway 556, Meadville, MS 39653 | 2005-09-27 |
| 1760099311 | Embassy Park Avenue, LLC | Skilled Nursing Facility | 14714 Park Avenue Ext, Meadville, PA 16335-9400 | 2020-09-28 |
| 1639612120 | Park Avenue Rehab Center LLC | Skilled Nursing Facility | 14714 Park Avenue Ext, Meadville, PA 16335-9400 | 2016-12-01 |
| 1184791022 | Meadville Medical Center | Skilled Nursing Facility | 1034 Grove St, Tcu, Meadville, PA 16335-2945 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990675 | Elizabethtown Opco LLC | Skilled Nursing Facility | 141 Heisey Avenue, Elizabethtown, PA 17022-8107 | 2020-10-22 |
| 1689273500 | Southwestern Healthcare Operations LLC | Skilled Nursing Facility | 500 Lewis Run Road, Pittsburgh, PA 15122-3056 | 2020-10-21 |
| 1922626290 | Brsi, Lp | Skilled Nursing Facility | 303 Walnut St Fl 7, Harrisburg, PA 17101-1825 | 2020-07-13 |
| 1932727591 | 1425 Horsham Snf Operations LLC | Skilled Nursing Facility | 1425 Horsham Road, North Wales, PA 19454-1320 | 2020-07-10 |
| 1184242182 | Conestoga View Snf Operations LLC | Skilled Nursing Facility | 900 E King Street, Lancaster, PA 17602-3272 | 2020-07-07 |
| 1164040168 | Mountain View Snf Operations LLC | Skilled Nursing Facility | 2050 Trevorton Road, Coal Township, PA 17866-9405 | 2020-07-07 |
| 1508484502 | Timber Ridge Snf Operations LLC | Skilled Nursing Facility | 1555 East End Boulevard, Plains Twp, PA 18702-7927 | 2020-07-07 |
| 1205456704 | Embassy Sharon, LLC | Skilled Nursing Facility | 959 E. State Street, Sharon, PA 16146 | 2020-04-24 |
| 1952940785 | Newport Meadows Health and Rehabilitation Center LLC | Skilled Nursing Facility | 41 Newport Avenue, Christina, PA 17509-1305 | 2019-12-26 |
| 1851954176 | Silvercare Skilled Nursing LLC | Skilled Nursing Facility | 2600 W 9th St Unit A, Chester, PA 19013-2040 | 2019-04-22 |
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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.