RIDDLE MEMORIAL HOSPITAL (NPI# 1578534244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578534244 |
| Entity Type | Organization |
| Organization Name | RIDDLE MEMORIAL HOSPITAL |
| Other Organization Name | RMH - HB/SNF |
| Practice Address |
1068 W Baltimore Pike Media PA 19063-5104 |
| Mailing Address |
3803 W Chester Pike Ste 250 Newtown Square PA 19073-2336 |
| Practice Telephone | 6105669400 |
| Practice Fax Number | 6108913592 |
| Mailing Telephone | 4843371814 |
| Mailing Fax Number | 4843378470 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | MR. MICHAEL J. BUONGIORNO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4843378480 |
| Is Organization Subpart | Y |
| Parent Organization Name | RIDDLE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 440502 | PA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| RMH - HB/SNF | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856099 | Riddle Memorial Hospital | General Acute Care Hospital | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2005-07-26 |
| 1467720649 | Riddle Memorial Hospital | Clinic/Center | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2011-12-02 |
| Street Address |
1068 W BALTIMORE PIKE |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856099 | Riddle Memorial Hospital | General Acute Care Hospital | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2005-07-26 |
| 1841899630 | Meghan Angelos Tokarski | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2020-10-22 |
| 1851914303 | Casey Leigh Ryan | Genetic Counselor, MS | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2020-05-19 |
| 1073155479 | Rebecca Lynn Mckenna | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2019-10-17 |
| 1194372730 | Margaryta Tolchynska | Physician Assistant | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2019-08-19 |
| 1750866471 | Christina Cotellese | Physician Assistant | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2018-09-27 |
| 1063905370 | Kaela Mclaughlin | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063 | 2018-06-11 |
| 1134659550 | Wesley Gordon | Physician Assistant | 1068 W Baltimore Pike, Media, PA 19063 | 2017-06-18 |
| 1235671892 | Viyaleta Vaitulevich | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2016-11-14 |
| 1225581234 | Syed Ali | Internal Medicine | 1068 W Baltimore Pike, Media, PA 19063 | 2016-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
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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 |
|---|---|---|---|---|
| 1013902253 | Martins Run | Skilled Nursing Facility | 11 Martins Run, Media, PA 19063-1057 | 2005-09-14 |
| 1679570196 | Riddle Village | Skilled Nursing Facility | 1048 W Baltimore Pike, Media, PA 19063-5149 | 2005-06-30 |
| 1598761579 | Sterling Healthcare & Rehab Center LLC | Skilled Nursing Facility | 316 S Orange St, Media, PA 19063-3614 | 2005-06-23 |
| 1861875098 | Cathy Griglione | Skilled Nursing Facility | 1048 W Baltimore Pike, Media, PA 19063-5149 | 2015-07-07 |
| 1306968672 | Genesis Eldercare Rehab Services | Skilled Nursing Facility | 11 Martins Run, Media, PA 19063-1057 | 2007-04-05 |
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| 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.