SOUTHEAST MA SNF LLC (NPI# 1619277050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619277050 |
Entity Type | Organization |
Organization Name | SOUTHEAST MA SNF LLC |
Other Organization Name | SOUTHEAST HEALTH CARE CENTER |
Practice Address |
184 Lincoln St Easton MA 02356-1799 |
Mailing Address |
135 South Rd Farmington CT 06032-2556 |
Practice Telephone | 5082387053 |
Practice Fax Number | 5082387049 |
Mailing Telephone | 8607513900 |
Mailing Fax Number | 8607513905 |
Enumeration Date | 2010-11-02 |
Last Update Date | 2017-10-26 |
Authorized Official Name | MR. MICHAEL E MOSIER (CFO) |
Authorized Official Telephone | 8607513900 |
Is Organization Subpart | Y |
Parent Organization Name | ATHENA HEALTH CARE SYSTEMS MA LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110087934A | 05 |
Other Name | Type Code |
---|---|
Southeast Health Care Center | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | SOUTHEAST MA SNF LLC | 184 Lincoln Street, North Easton, MA 02356 |
Street Address |
184 LINCOLN ST |
City | EASTON |
State | MA |
Zip Code | 02356-1799 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174005110 | Easton Eye Consultants, PC | Optometrist | Easton Eye Consultants, 15 Roche Bros Way Suite 100, North Easton, MA 02356 | 2018-09-06 |
1366932386 | Thomas Joseph Clarke | Psychologist | 171 Poquanticut Avenue, North Easton, MA 02356 | 2018-05-15 |
1821509985 | Ariel Hovland | Physical Therapist | 2 Belmont Street, Easton, MA 02356 | 2017-10-17 |
1326109968 | Gregory Peter Perron | Chiropractor | 990 Pleasant St, Brockton, MA 02356 | 2006-12-13 |
1326116153 | Linda J Mcgettigan | Acupuncturist | The Village Acupuncturist, 115 Main St. Suite 2c, North Easton, MA 02356 | 2006-12-01 |
1841306198 | Thomas Francis Herlihy Iv | Dentist | 191 Washington St, North Easton, MA 02356 | 2006-08-21 |
1801864335 | Thane Nolan Turner | Family Medicine | 3 Washington St Ste 220, North Easton, MA 02356 | 2006-03-10 |
1942283577 | Judith S Colandreo | Physical Therapist | 15 Roche Bros. Way, North Easton, MA 02356 | 2005-11-29 |
1275514143 | Stanley M Leitzes | Orthopaedic Surgery | 15 Roche Bros Way, Orthopedic Care Specialists, Inc, North Easton, MA 02356 | 2005-11-08 |
1689144214 | Sarah Beth Krajewski | Advanced Practice Midwife | 31 Roche Brothers Way, North Easton, MA 02356 | 2018-11-27 |
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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. |
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1700831013 | Manor Care of Easton Pa LLC | Skilled Nursing Facility | 2600 Northampton St, Easton, PA 18045-2656 | 2006-05-24 |
1831171453 | Country Care Inc. | Skilled Nursing Facility | 515 Dawson St, Easton, KS 66020-9200 | 2005-11-18 |
1609864859 | Easton Leasing Partnership | Skilled Nursing Facility | 500 Washington St, Easton, PA 18042-4434 | 2005-10-12 |
1447248638 | Easton Leasing Partnership | Skilled Nursing Facility | 498 Washington St, Easton, PA 18042-4432 | 2005-10-11 |
1881682490 | Ccic LLC | Skilled Nursing Facility | 20379 Edwards Dr, Easton, KS 66020-8067 | 2005-10-07 |
1386005965 | Maybrook-p Praxis Opco, LLC | Skilled Nursing Facility | 500 Washington St, Easton, PA 18042-4434 | 2016-03-10 |
1275994832 | Maybrook-p Easton Opco, LLC | Skilled Nursing Facility | 498 Washington St, Easton, PA 18042-4432 | 2016-03-10 |
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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.