ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC (NPI# 1578550042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578550042 |
| Entity Type | Organization |
| Organization Name | ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC |
| Practice Address |
112 Ski Bowl Rd North Creek NY 12853 |
| Mailing Address |
112 Ski Bowl Road North Creek NY 12853 |
| Practice Telephone | 5182512447 |
| Practice Fax Number | 5182514207 |
| Mailing Telephone | 5182512447 |
| Mailing Fax Number | 5182514207 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | MR. HAL G PAYNE (ADMINISTRATOR) |
| Authorized Official Telephone | 5182514712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 5655302N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00308943 | 05 | |
| NY | 5655302N | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. | Po Box 246, North Creek, Ny 12853 |
| Street Address |
112 SKI BOWL RD |
| City | NORTH CREEK |
| State | NY |
| Zip Code | 12853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447710447 | Jillian Montreuil Thomas | Occupational Therapist | 112 Ski Bowl Rd, North Creek, NY 12853-2607 | 2019-03-25 |
| 1609348713 | Sungji Joun | Physical Therapist | 112 Ski Bowl Rd, North Creek, NY 12853-2607 | 2018-12-31 |
| 1326533852 | Taylor Dufrain | Occupational Therapist | 112 Ski Bowl Rd, North Creek, NY 12853-2607 | 2018-06-27 |
| 1205345501 | 112 Ski Bowl Road Operating Company, LLC | Skilled Nursing Facility | 112 Ski Bowl Rd, North Creek, NY 12853-2607 | 2017-09-29 |
| 1518375278 | Hudson Headwaters Health Network | Internal Medicine | 112 Ski Bowl Rd, North Creek, NY 12853-2607 | 2014-07-25 |
| 1417187113 | Patricia R Elmen | Occupational Therapist | 112 Ski Bowl Rd, North Creek, NY 12853-2607 | 2009-07-16 |
| 1366676215 | Christoper Michael Grant | Occupational Therapist | 112 Ski Bowl Rd, North Creek, NY 12853-2607 | 2009-05-06 |
| 1649412982 | Michael Graham Miles | Internal Medicine | 112 Ski Bowl Rd, North Creek, NY 12853 | 2009-04-01 |
| 1235229618 | Karin Ash | Physical Therapist | 112 Ski Bowl Rd, North Creek, NY 12853-0500 | 2006-10-13 |
| 1346336401 | Kathleen B Ryan | Physical Therapist | 112 Ski Bowl Rd, North Creek, NY 12853-0500 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508350281 | Anne Margaret Van Huben | Occupational Therapist | Elderwood At North Creek, 112 Ski Bowl Road, North Creek, NY 12853 | 2018-06-18 |
| 1952785149 | Lynn Micha May | Speech-Language Pathologist | 112 Sk. Bowl Road, Adirondack Tri-county Nursing and Rehabilitation Center, North Creek, NY 12853 | 2015-07-17 |
| 1245479534 | Lori P Benton | Massage Therapist | 260 Main St., North Creek, NY 12853 | 2009-02-11 |
| 1801033279 | Deidre M. Convery-bernard | Speech-Language Pathologist | 301 Cobble Creek Rd, North Creek, NY 12853 | 2009-01-07 |
| 1235113804 | Johnsburg Emergency Squad Inc | Ambulance | 624 Peaceful Valley Road, North Creek, NY 12853 | 2005-12-06 |
| 1972020634 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 284 Main St, North Creek, NY 12853 | 2017-08-24 |
| 1245493121 | Diana Lynn Dymond-burna | Physical Therapist | 112 Ski Bowl Road, North Creek, NY 12853 | 2008-07-09 |
| 1710172713 | Jill L Hodgson | Occupational Therapist | 165 Main Street, North Creek, NY 12853 | 2007-09-12 |
| 1942401518 | Frank Howard Klippel | Pharmacist | 284 Main Street, North Creek, NY 12853 | 2007-05-30 |
| 1821084542 | Thomas Cunningham | Internal Medicine | 15 Milton Avenue, North Creek, NY 12853-0000 | 2005-09-27 |
| Find all providers in zip 12853 | ||||
| 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 |
|---|---|---|---|---|
| 1205345501 | 112 Ski Bowl Road Operating Company, LLC | Skilled Nursing Facility | 112 Ski Bowl Rd, North Creek, NY 12853-2607 | 2017-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730701343 | Diamond Medical Employment Agency Inc | Skilled Nursing Facility | 21873 Hempstead Ave, Queens Village, NY 11429-2103 | 2020-05-18 |
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1659936334 | Nelson Tannis | Skilled Nursing Facility | 165 Broadway, New York, NY 10006-1404 | 2019-05-07 |
| 1295390029 | Westgate Operations Associates LLC | Skilled Nursing Facility | 525 Beahan Rd, Rochester, NY 14624-3403 | 2019-05-07 |
| 1952883423 | Roscoe Regional Healthcare LLC | Skilled Nursing Facility | 420 Rockland Rd, Roscoe, NY 12776-6450 | 2018-08-31 |
| 1164904769 | Renaissance Healthcare Group, LLC | Skilled Nursing Facility | 4975 Albany Post Rd, Staatsburg, NY 12580-6032 | 2018-08-30 |
| 1477049807 | Itkin Occupational Therapy PC | Skilled Nursing Facility | 134 Mackenzie Street, Brooklyn, NY 11235 | 2018-07-09 |
| 1699280826 | 239 Legris Avenue Operations LLC | Skilled Nursing Facility | 3118 Quentin Rd, Brooklyn, NY 11234-4235 | 2017-12-11 |
| 1376058578 | Yonkers Gardens, LLC | Skilled Nursing Facility | 115 S Broadway, Yonkers, NY 10701-4006 | 2017-12-10 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CREEK |
| Zip Code | 12853 |
Please comment or provide details below to improve the information on ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC.
| 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.