MEMORY GARDEN AT TANGLEWOOD MANOR, INC (NPI# 1568891810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568891810 |
| Entity Type | Organization |
| Organization Name | MEMORY GARDEN AT TANGLEWOOD MANOR, INC |
| Practice Address |
560 Fairmount Ave Jamestown NY 14701-2749 |
| Practice Telephone | 7164832876 |
| Mailing Telephone | 7164832876 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |
| Authorized Official Name | TERRI INGERSOLL (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7164832876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | 060F040 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03369835 | 05 |
| Street Address |
560 FAIRMOUNT AVE |
| City | JAMESTOWN |
| State | NY |
| Zip Code | 14701-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932302882 | Tanglewood Manor, Inc | Assisted Living Facility | 560 Fairmount Ave, Jamestown, NY 14701-2749 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964314 | Jennifer Ware | Driver | 116 Tower St, Jamestown, NY 14701 | 2019-04-20 |
| 1962979005 | Kimberly Marlene Crasti | Student in an Organized Health Care Education/Training Program | 64 Ames Ave, Jamestown, NY 14701 | 2018-10-26 |
| 1679055032 | Hannah Abbott | Student in an Organized Health Care Education/Training Program | 118 Superior St., Jamestown, NY 14701 | 2018-09-02 |
| 1669952172 | Taylor Marie Genco | Registered Nurse | 110 E 4th Street, Jamestown, NY 14701 | 2018-08-15 |
| 1487163978 | Molly Morgante | Physical Therapy Assistant | 410 Crossman Street, Jamestown, NY 14701 | 2017-09-27 |
| 1053832097 | Amber Nicole Caylor | Licensed Practical Nurse | 48 Chautauqua Avenue, Jamestown, NY 14701 | 2017-06-29 |
| 1821520370 | John Robert Ferry | Registered Nurse | 500 Pine St., Suite #15, Jamestown, NY 14701 | 2017-04-03 |
| 1467905638 | Mental Health Association In Chautauqua County | Case Management | 31 Water Street, Suite 7, Jamestown, NY 14701 | 2016-07-25 |
| 1518336387 | Tracy Dudley | Licensed Practical Nurse | 764 Harding Ave, Jamestown, NY 14701 | 2015-09-22 |
| 1174922405 | Sylvia A Emerling | Social Worker | 332 East 4th St, Jamestown, NY 14701 | 2014-08-22 |
| Find all providers in zip 14701 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811209414 | Alite Care Corporation | Alzheimer Center (Dementia Center) | 49 North Rd, Jamestown, RI 02835-1433 | 2010-07-12 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013473545 | Bv Sayville Operator, LLC | Alzheimer Center (Dementia Center) | 445 Broadway Avenue, Sayville, NY 11782 | 2019-02-20 |
| 1346730298 | Bv Lake Tappan Operator LLC | Alzheimer Center (Dementia Center) | 31 Hunt Road, Orangeburg, NY 10962 | 2018-05-16 |
| 1801330840 | Elzana Sabovic | Alzheimer Center (Dementia Center) | 2447 Mickle Ave, Bronx, NY 10469-6203 | 2016-12-09 |
| 1467802058 | Bv Tarrytown Operator LLC | Alzheimer Center (Dementia Center) | 581 Old White Plains Road, Tarrytown, NY 10591 | 2016-06-15 |
| 1316383086 | Away From Home Adult Day Care, LLC | Alzheimer Center (Dementia Center) | 1660 Route 112, Suite G, Port Jefferson Station, NY 11776-8057 | 2013-05-21 |
| 1538497185 | Painted Post Properties, Inc. | Alzheimer Center (Dementia Center) | 200 Southwestern Dr, Lakewood, NY 14750-2118 | 2009-11-19 |
| 1801008651 | Carter Burden Center | Alzheimer Center (Dementia Center) | 445 E 85th St, New York, NY 10028-6348 | 2007-05-04 |
| 1821049164 | Cobble Hill Health Center Inc | Alzheimer Center (Dementia Center) | 380 Henry Street, Brooklyn, NY 11201 | 2006-05-12 |
| 1780118620 | Reliance Home Senior Services | Alzheimer Center (Dementia Center) | 1035 Park Blvd, Massapequa Park, NY 11762-2743 | 2017-04-18 |
| 1164821120 | Parker Jewish Institute for Health Care and Rehabilitation | Alzheimer Center (Dementia Center) | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2014-08-15 |
| Find all providers with the same taxonomy | ||||
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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.