SUNNYSIDE PRESBYTERIAN HOME (NPI# 1518956911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518956911 |
| Entity Type | Organization |
| Organization Name | SUNNYSIDE PRESBYTERIAN HOME |
| Other Organization Name | SUMMIT SQUARE RETIREMENT COMMUNITY |
| Practice Address |
501 Oak Ave Waynesboro VA 22980-4400 |
| Mailing Address |
600 University Blvd Harrisonburg VA 22801-3763 |
| Practice Telephone | 5409413100 |
| Practice Fax Number | 5409413330 |
| Mailing Telephone | 5405688237 |
| Mailing Fax Number | 5405688248 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2020-05-26 |
| Authorized Official Name | MR. PAUL WHITE (CONTROLLER) |
| Authorized Official Telephone | 5405688237 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 1022567 | VA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | NH2740 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4954051 | 05 |
| Other Name | Type Code |
|---|---|
| Summit Square Retirement Community | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831510262 | Sunnyside Presbyterian Home | Nursing Facility/Intermediate Care Facility | 600 University Blvd Ste L, Harrisonburg, VA 22801-3763 | 2014-01-03 |
| 1366431652 | Sunnyside Presbyterian Home | Assisted Living Facility | 350 Kings Way Rd, Martinsville, VA 24112-6631 | 2005-10-19 |
| 1902949738 | Sunnyside Presbyterian Home | Pharmacy | 3935 Sunnyside Dr, Suite A, Harrisonburg, VA 22801-2328 | 2007-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SUNNYSIDE PRESBYTERIAN HOME | 600 University Blvd Ste L, Harrisonburg, Virginia 22801-3763 |
| Street Address |
501 OAK AVE |
| City | WAYNESBORO |
| State | VA |
| Zip Code | 22980-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902452865 | Kathy Marie Stoll | Occupational Therapist | 501 Oak Ave, Waynesboro, VA 22980-4400 | 2019-08-15 |
| 1013424258 | Eric Utz | Occupational Therapist | 501 Oak Ave, Waynesboro, VA 22980-4400 | 2018-01-09 |
| 1649665365 | Kala Doss | Occupational Therapist | 501 Oak Ave, Waynesboro, VA 22980-4400 | 2015-03-31 |
| 1164724852 | Erica Clinton | Physical Therapy Assistant | 501 Oak Ave, Waynesboro, VA 22980-4400 | 2010-12-01 |
| 1750682787 | Winifred Marie Fitzgerald | Nursing Facility/Intermediate Care Facility | 501 Oak Ave, Waynesboro, VA 22980-4400 | 2010-11-08 |
| 1053643312 | Pamela J Vandevander | Occupational Therapist | 501 Oak Ave, Waynesboro, VA 22980-4400 | 2010-02-11 |
| 1326370685 | Shawna B Camden | Occupational Therapist | 501 Oak Ave, Waynesboro, VA 22980-4400 | 2010-02-11 |
| 1124252671 | Leah L Showalter | Occupational Therapist | 501 Oak Ave, Waynesboro, VA 22980-4400 | 2009-05-13 |
| 1205098845 | Mary C Jones | Physical Therapist | 501 Oak Ave, Waynesboro, VA 22980-4400 | 2008-06-25 |
| 1326248840 | Charles M Gauerke | Physical Therapist | 501 Oak Ave, Waynesboro, VA 22980-4400 | 2007-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053870071 | Deborah M Yancey | Audiologist | 301 Pine Ave., Waynesboro, VA 22980 | 2019-03-19 |
| 1255895215 | Synergy Rehab and Wellness, Plc | Physical Therapist | 100b Community Dr, Waynesboro, VA 22980 | 2019-01-24 |
| 1760959076 | Contractors Usa Inc. | Contractor | 102 Northpoint School Rd, Waynesboro, VA 22980 | 2018-10-25 |
| 1073080412 | Rebecca Mackall | Speech-Language Pathologist | 872 Fairway Drive, Waynesboro, VA 22980 | 2018-10-24 |
| 1891239927 | Heather Lewis | Counselor | 438 Alpha St, Waynesboro, VA 22980 | 2016-12-08 |
| 1194271817 | Ride Rite LLC | Taxi | 465 Calf Mountain Road, Waynesboro, VA 22980 | 2016-09-01 |
| 1225584568 | Richard Harris Sr. | Non-emergency Medical Transport (VAN) | 208 S Bayard Ave, Waynesboro, VA 22980 | 2016-08-28 |
| 1154772671 | Michael T Cunningham, Dds, PC | Dentist | 1151 13th St. Ste 200, Waynesboro, VA 22980 | 2016-06-27 |
| 1770981326 | Americare Plus, LLC. | In Home Supportive Care | 510 H West Broad Street, Waynesboroa, VA 22980 | 2014-12-15 |
| 1043649635 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 30 Ebco Cir Ste 102, Waynesboro, VA 22980 | 2013-11-05 |
| Find all providers in zip 22980 | ||||
| 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 |
|---|---|---|---|---|
| 1336488873 | Christine Kay Washington | Skilled Nursing Facility | 18 Virginia Ave, Waynesboro, PA 17268-2317 | 2013-02-04 |
| 1215010277 | Avante At Waynesboro, Inc. | Skilled Nursing Facility | 1221 Rosser Ave, Waynesboro, VA 22980-3336 | 2006-10-23 |
| 1477595403 | Brentwood Terrace Health Center, LLC | Skilled Nursing Facility | 115 Brentwood Dr, Waynesboro, GA 30830-4519 | 2006-06-12 |
| 1548252810 | Pensacola Health Trust Inc | Skilled Nursing Facility | 1304 Walnut St, Waynesboro, MS 39367-2232 | 2005-08-22 |
| 1427546423 | Curis At Waynesboro Opco LLC | Skilled Nursing Facility | 1221 Rosser Ave, Waynesboro, VA 22980 | 2018-04-25 |
| 1992119010 | Waynesboro Healthcare, LLC | Skilled Nursing Facility | 505 S High St, Waynesboro, TN 38485-2610 | 2014-06-17 |
| 1235543463 | Waynesboro Healthcare, LLC | Skilled Nursing Facility | 104 Jv Mangubat Dr, Waynesboro, TN 38485-2439 | 2014-06-16 |
| 1982864708 | Ms Hud Pine View LLC | Skilled Nursing Facility | 1304 Walnut St, Waynesboro, MS 39367-2232 | 2008-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760015119 | Mikaylah Lang | Skilled Nursing Facility | 4505 Georgewashington Hwy, Portsmouth, VA 23702 | 2020-02-13 |
| 1134760432 | Valley Operator LLC | Skilled Nursing Facility | 940 E Lee Hwy, Chilhowie, VA 24319-3237 | 2019-10-08 |
| 1871134171 | Westport Operator LLC | Skilled Nursing Facility | 7300 Forest Ave, Richmond, VA 23226-3735 | 2019-10-08 |
| 1437790730 | Hopewell Operator LLC | Skilled Nursing Facility | 905 Cousins Ave, Hopewell, VA 23860-6507 | 2019-10-08 |
| 1013478411 | Blue Ridge Snf Operations LLC | Skilled Nursing Facility | 105 Landmark Dr, Stuart, VA 24171-9401 | 2019-03-28 |
| 1265924260 | Nassawadox Life Care, LLC | Skilled Nursing Facility | 9468 Hospital Road, Nassawadox, VA 23413-0176 | 2018-06-05 |
| 1518459593 | Big Stone Gap Life Care, LLC | Skilled Nursing Facility | 2045 Valley View Dr, Big Stone Gap, VA 24219-3319 | 2018-06-05 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1033660360 | Nathan Ian Dalleave | Skilled Nursing Facility | 1243 Lanier Rd, Martinsville, VA 24112-5211 | 2016-10-21 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESBORO |
| Zip Code | 22980 |
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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.