WEST JEFFERSON OPCO, LLC (NPI# 1558769448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558769448 |
| Entity Type | Organization |
| Organization Name | WEST JEFFERSON OPCO, LLC |
| Other Organization Name | WEST JEFFERSON OPCO, LLC |
| Practice Address |
375 W Main St West Jefferson OH 43162-1298 |
| Mailing Address |
7400 New La Grange Rd Ste 100 Louisville KY 40222-4870 |
| Practice Telephone | 6148797661 |
| Practice Fax Number | 6148797604 |
| Mailing Telephone | 5024298062 |
| Mailing Fax Number | 5024290650 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2015-12-09 |
| Authorized Official Name | MR. STACEY PAUL ROGERS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5024298062 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| West Jefferson Opco, LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | WEST JEFFERSON OPCO, LLC | Prestige Healthcare, Attn: General Counsel, 7400 New Lagrange Road, Suite 100, Louisville, KY 40222 |
| Street Address |
375 W MAIN ST |
| City | WEST JEFFERSON |
| State | OH |
| Zip Code | 43162-1298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649747650 | Dene Woods | Physical Therapist | 375 W Main St, West Jefferson, OH 43162-1298 | 2018-10-28 |
| 1720562374 | Kevin Buell | Physical Therapy Assistant | 375 W Main St, West Jefferson, OH 43162-1298 | 2018-09-19 |
| 1083152607 | Amy Kathleen Gelin | Physical Therapist | 375 W Main St, West Jefferson, OH 43162-1298 | 2017-02-02 |
| 1750784120 | Kristyn Nicole Elliott | Occupational Therapist | 375 W Main St, West Jefferson, OH 43162-1298 | 2014-09-30 |
| 1740681931 | Amber Duch | Physical Therapy Assistant | 375 W Main St, West Jefferson, OH 43162-1298 | 2014-09-08 |
| 1427462928 | Nathan Hermiller | Physical Therapist | 375 W Main St, West Jefferson, OH 43162-1298 | 2014-06-12 |
| 1255758629 | Andrea Kramer | Physical Therapy Assistant | 375 W Main St, West Jefferson, OH 43162-1298 | 2014-03-24 |
| 1003247727 | Betsy Geddis | Occupational Therapy Assistant | 375 W Main St, West Jefferson, OH 43162-1298 | 2013-12-05 |
| 1619307972 | Kaeli Pletcher | Speech-Language Pathologist | 375 W Main St, West Jefferson, OH 43162-1298 | 2013-11-22 |
| 1639509276 | Valerie Groover | Physical Therapy Assistant | 375 W Main St, West Jefferson, OH 43162-1298 | 2013-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346796190 | Briana Lynn Agler | Occupational Therapy Assistant | 375 West Main St., West Jefferson, OH 43162 | 2016-08-31 |
| 1235229675 | Chau Chi Lin | General Practice | 82 West Main St, West Jefferson, OH 43162 | 2006-10-14 |
| 1457465478 | Jeffrey Thomas Hayes Jr. | Dentist | 37 S Twin St, Jeffrey T Hayes Dds LLC, West Jefferson, OH 43162 | 2006-08-18 |
| 1326046798 | Eric James Yoon | Nurse Practitioner | 95 East Main Street, West Jefferson, OH 43162 | 2005-07-11 |
| 1912227158 | West Jefferson Internal Medicine | Nurse Practitioner | 95 East Main Street, West Jefferson, OH 43162 | 2010-06-10 |
| 1306261409 | Melissa Bowersock | Speech-Language Pathologist | 899 Norwood Dr, West Jefferson, OH 43162-1041 | 2014-02-26 |
| 1750823712 | Paulette Palombo | Speech-Language Pathologist | 899 Norwood Dr, West Jefferson, OH 43162-1041 | 2016-11-08 |
| 1396736237 | Colleen Opremcak | Psychiatry & Neurology | 146 Parkdale Dr, West Jefferson, OH 43162-1043 | 2005-10-31 |
| 1356967590 | Sarah Elizabeth Cahill | Nurse Practitioner | 338 Darbyview Dr, West Jefferson, OH 43162-1104 | 2020-06-23 |
| 1518969401 | Kristy Fleagane | Chiropractor | 25 Inwood Rd, West Jefferson, OH 43162-1112 | 2005-08-11 |
| Find all providers in zip 43162 | ||||
| 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 |
|---|---|---|---|---|
| 1336579069 | Extendicare | Skilled Nursing Facility | 375 W Main St, West Jefferson, OH 43162-1298 | 2013-11-15 |
| 1033280573 | Arbors West Care, LLC | Skilled Nursing Facility | 375 W Main St, West Jefferson, OH 43162-1298 | 2006-11-13 |
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|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
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| 1154962835 | Sycamorespring Health Care and Rehabilitation LLC | Skilled Nursing Facility | 2175 Leiter Rd, Miamisburg, OH 45342-3659 | 2019-10-03 |
| 1255980876 | Ehcs Oakhill Properties, LLC | Skilled Nursing Facility | 4466 Lynnhaven Ave, Louisville, OH 44641-9513 | 2019-09-06 |
| 1083260988 | Trilogy Healthcare of Tiffin, LLC | Skilled Nursing Facility | 410 Fair Lane, Tiffin, OH 44883 | 2019-08-15 |
| 1427604321 | Trilogy Healthcare of Pickerington, LLC | Skilled Nursing Facility | 603 Diley Road, Pickerington, OH 43147 | 2019-08-15 |
| 1205482189 | Trilogy Healthcare of Franklin IIi, LLC | Skilled Nursing Facility | 7320 Smith's Mill Road, New Albany, OH 43054 | 2019-08-15 |
| 1972164713 | Cardinal Delaware, Inc. | Skilled Nursing Facility | 6975 Graphics Way, Lewis Center, OH 43035 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
| City | WEST JEFFERSON |
| Zip Code | 43162 |
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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.