LAUREL WOOD CARE CENTER, LLC (NPI# 1588662936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588662936 |
| Entity Type | Organization |
| Organization Name | LAUREL WOOD CARE CENTER, LLC |
| Other Organization Name | LAUREL WOOD CARE CENTER |
| Practice Address |
100 Woodmont Rd Johnstown PA 15905-1342 |
| Mailing Address |
209 Sigma Dr Pittsburgh PA 15238-2826 |
| Practice Telephone | 8142551488 |
| Practice Fax Number | 8142552293 |
| Mailing Telephone | 4129639150 |
| Mailing Fax Number | 4129636676 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2016-09-26 |
| Authorized Official Name | MR. HERBERT H HENNELL (VICE PRESIDENT OF REIMBURSEMENT) |
| Authorized Official Telephone | 4129639150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 380502 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE CROSS PROVIDER NO. | 0548 | 01 |
| PA | SECURITY BLUE | 0548 | 01 |
| PA | UNISON (MED PLUS/3 RIVERS | 000000114520 | 01 |
| PA | 1007294850003 | 05 | |
| FEDERAL BLACK LUNG PROGRA | 071007900 | 01 | |
| PA | UMWA PROVIDER NUMBER | 1399778 | 01 |
| Other Name | Type Code |
|---|---|
| Laurel Wood Care Center | Doing Business As Name - Organization |
| Street Address |
100 WOODMONT RD |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552445 | Kristina Marie Sloan | Registered Nurse | Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 | 2018-06-15 |
| 1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
| 1497091797 | Jessica Pacsai | Occupational Therapist | 807 Goucher Street, Johnstown, PA 15905 | 2012-12-14 |
| 1225396351 | Lusine Mesropyan | Surgery | 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 | 2012-04-26 |
| 1467766931 | Kimberly Buchanan | Speech-Language Pathologist | 787 Goucher Street, Johnstown, PA 15905 | 2010-07-27 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1932357878 | Michael Cameron Sleet | Surgery | Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 | 2008-09-04 |
| 1255528543 | Assisted Living Concepts Inc | Assisted Living Facility | 500 Cheney Oaks Drive, Johnstown, PA 15905 | 2007-10-01 |
| 1578766648 | Tamera Waggle | Nurse Anesthetist, Certified Registered | 1186 Franklin St., Johnstown, PA 15905 | 2007-06-07 |
| 1821206178 | Blue and Green Medical PC | Internal Medicine | 1743 Goucher Street, Johnstown, PA 15905 | 2007-05-18 |
| Find all providers in zip 15905 | ||||
| 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 |
|---|---|---|---|---|
| 1497824064 | Arbutus Park Manor | Skilled Nursing Facility | 207 Ottawa Street, Johnstown, PA 15904-2337 | 2006-11-07 |
| 1740231059 | Ggnsc Johnstown Lp | Skilled Nursing Facility | 349 Vo Tech Dr, Johnstown, PA 15904-2926 | 2006-05-12 |
| 1780668079 | Good Samaritan Medical Center of Johnstown | Skilled Nursing Facility | 1017 Franklin St, Johnstown, PA 15905-4110 | 2005-12-01 |
| 1265423727 | Zandex Health Care Corp | Skilled Nursing Facility | 267 North Main Street, Johnstown, OH 43031 | 2005-11-03 |
| 1831192228 | Allegheny Lutheran Social Ministries Inc. | Skilled Nursing Facility | 807 Goucher St, Johnstown, PA 15905-2900 | 2005-05-31 |
| 1194204917 | Villa Crest LLC | Skilled Nursing Facility | 1451 Frankstown Rd, Johnstown, PA 15902-1318 | 2018-08-13 |
| 1093261463 | Guardian Elder Care At Johnstown LLC | Skilled Nursing Facility | 349 Vo Tech Dr, Johnstown, PA 15904-2926 | 2016-08-26 |
| 1699147603 | Westmont Woods, Lp | Skilled Nursing Facility | 787 Goucher St, Johnstown, PA 15905-3028 | 2015-10-29 |
| 1518010875 | Wells Nursing Home Inc. | Skilled Nursing Facility | 201 W Madison Ave, Johnstown, NY 12095-2806 | 2007-01-19 |
| 1164509261 | Dlp Conemaugh Memorial Medical Center LLC | Skilled Nursing Facility | 320 Main St, Johnstown, PA 15901-1601 | 2006-11-01 |
| Find all providers in JOHNSTOWN | ||||
Please comment or provide details below to improve the information on LAUREL WOOD CARE CENTER, LLC.
| 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.