BEAVER DAM HEALTH CARE MANOR INC (NPI# 1538321781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538321781 |
| Entity Type | Organization |
| Organization Name | BEAVER DAM HEALTH CARE MANOR INC |
| Other Organization Name | BEAVER DAM HEALTH CARE MANOR |
| Practice Address |
1595 Us Highway 231 S Beaver Dam KY 42320-9463 |
| Mailing Address |
602 Courtland St Ste 200 Orlando FL 32804-1340 |
| Practice Telephone | 2702749646 |
| Practice Fax Number | 2702749646 |
| Mailing Telephone | 4079753000 |
| Mailing Fax Number | 4079753090 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | MR. DAVID RODMAN (ASST SECRETARY) |
| Authorized Official Telephone | 4079753011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 100353 | KY | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Beaver Dam Health Care Manor | Doing Business As Name - Organization |
| Street Address |
1595 US HIGHWAY 231 S |
| City | BEAVER DAM |
| State | KY |
| Zip Code | 42320-9463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669543716 | Beaver Dam Nursing & Rehab Center, Inc | Skilled Nursing Facility | 1595 Us Highway 231 S, Beaver Dam, KY 42320-9463 | 2006-11-12 |
| 1801209358 | Audrey Elizabeth Pharris | Speech-Language Pathologist | 1595 Us Highway 231 S, Beaver Dam, KY 42320-9463 | 2014-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386123198 | Tate Downing | Physical Therapist | 1595 Us Hwy 31 S, Beaver Dam, KY 42320 | 2018-08-13 |
| 1679792196 | Bradford Elrod Mutchler | Preventive Medicine | 1219 N. Main St, Beaver Dam, KY 42320 | 2007-04-24 |
| 1922169259 | Kenneth Dwain Alford | Dentist | 1269 Duvall Rd, Suite 2, Beaver Dam, KY 42320 | 2006-12-12 |
| 1205909330 | Susan Smith Rice | Nurse Practitioner | 1219 North Main St, Norsworthy Medical Assoc., Psc, Beaver Dam, KY 42320 | 2006-11-16 |
| 1104929322 | Armand Jules Rigaux | Emergency Medicine | 1219 N. Main St., Beaver Dam, KY 42320 | 2006-09-06 |
| 1326050329 | Jonathan L Shrewsbury | Optometrist | 1303 North Main St., Beaver Dam, KY 42320 | 2006-08-12 |
| 1376583690 | Donald Kevin Gregory | Emergency Medicine | 1213 North Main Street, Beaver Dam, KY 42320 | 2006-06-07 |
| 1982182317 | Bright Futures Behavioral Health | Nurse Practitioner | 1625 N Main St, Beaver Dam, KY 42320 | 2018-07-28 |
| 1669824744 | Aspire Behavioral Therapy, LLC | Counselor | 343 S Main St, Beaver Dam, KY 42320 | 2016-07-12 |
| 1457760662 | Wendy Russell | Counselor | 343 S Main St, Beaver Dam, KY 42320 | 2014-08-13 |
| Find all providers in zip 42320 | ||||
| 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 |
|---|---|---|---|---|
| 1669543716 | Beaver Dam Nursing & Rehab Center, Inc | Skilled Nursing Facility | 1595 Us Highway 231 S, Beaver Dam, KY 42320-9463 | 2006-11-12 |
| 1134179849 | Ggnsc Beaver Dam LLC | Skilled Nursing Facility | 410 Roedl Ct, Beaver Dam, WI 53916-2934 | 2006-05-11 |
| 1679124705 | Bedrock Hcs At Beaver Dam LLC | Skilled Nursing Facility | 410 Roedl Ct, Beaver Dam, WI 53916-2934 | 2019-09-20 |
| 1992257109 | Dycora Transitional Health - Beaver Dam LLC | Skilled Nursing Facility | 410 Roedl Ct, Beaver Dam, WI 53916-2934 | 2016-11-04 |
| 1750451142 | Beaver Dam Community Hospitals, Inc | Skilled Nursing Facility | 707 S University Ave, Beaver Dam, WI 53916 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163697 | Providence Point Healthcare, Inc. | Skilled Nursing Facility | 100 Marshall Ct, Paducah, KY 42001-9639 | 2020-10-28 |
| 1366062432 | Exceptional Senior Living-prospect, LLC | Skilled Nursing Facility | 6901 Carslaw Ct, Prospect, KY 40059-8358 | 2020-04-20 |
| 1811527617 | Trilogy Healthcare of Bullitt, LLC | Skilled Nursing Facility | 119 East Sanders Lane, Mt. Washington, KY 40047 | 2020-01-21 |
| 1659856961 | Salyersville Health Operating Company LLC | Skilled Nursing Facility | 662 Parkway Dr, Salyersville, KY 41465-9249 | 2018-10-02 |
| 1104307271 | Boonespring Transitional Care Center, LLC | Skilled Nursing Facility | 10250 Us 42, Union, KY 41091 | 2018-08-27 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1437682309 | Landmark of Lancaster Rehabilitation and Nursing Center | Skilled Nursing Facility | 308 W Maple Ave, Lancaster, KY 40444-1005 | 2017-04-07 |
| 1962954529 | Martin Manor Operations, LLC | Skilled Nursing Facility | 62 Maude Rd., Inez, KY 41224 | 2016-10-31 |
| 1023560661 | Robertson Operations, LLC | Skilled Nursing Facility | Route 2 Hwy 62, Mt. Olivet, KY 41064 | 2016-10-31 |
| 1205386208 | Vanceburg Leasing, LLC | Skilled Nursing Facility | 58 Eastham St, Vanceburg, KY 41179-5462 | 2016-10-13 |
| Find all providers with the same taxonomy | ||||
| City | BEAVER DAM |
| Zip Code | 42320 |
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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.