PARK VISTA SNF OPS, LLC (NPI# 1639709249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639709249 |
| Entity Type | Organization |
| Organization Name | PARK VISTA SNF OPS, LLC |
| Practice Address |
1216 5th Ave Youngstown OH 44504-1605 |
| Practice Telephone | 3307462944 |
| Practice Fax Number | 3307423625 |
| Mailing Telephone | 3307462944 |
| Mailing Fax Number | 3307423625 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | SHLOMO MUSHELL (MANAGER) |
| Authorized Official Telephone | 9172515131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
1216 5TH AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44504-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659367639 | Ohio Living Communities | Skilled Nursing Facility | 1216 5th Ave, Youngstown, OH 44504-1605 | 2005-09-23 |
| 1235739459 | Park Vista Il Ops LLC | Custodial Care Facility | 1216 5th Ave, Youngstown, OH 44504-1605 | 2020-10-27 |
| 1952965428 | Ohio Living Communities | Assisted Living Facility | 1216 5th Ave, Youngstown, OH 44504-1605 | 2019-04-30 |
| 1407271240 | Deanna Lane | Physical Therapy Assistant | 1216 5th Ave, Youngstown, OH 44504-1605 | 2014-03-04 |
| 1891901336 | Brett Stare | Physical Therapist | 1216 5th Ave, Youngstown, OH 44504-1605 | 2007-05-14 |
| 1770650996 | Lucille Zinz | Dietitian, Registered | 1216 5th Ave, Park Vista Retirement Community, Youngstown, OH 44504-1605 | 2006-11-30 |
| 1003981853 | Matthew Francis Good | Dietitian, Registered | 1216 5th Ave, Youngstown, OH 44504-1605 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458845 | Shay Kahani | Social Worker | 517 Gypsy Lane, Youngstown, OH 44504 | 2019-10-14 |
| 1497312573 | Parth Shah | Student in an Organized Health Care Education/Training Program | Western Reserve Health Education, 500 Gypsy Lane, Medical Office Building A, Youngstown, OH 44504 | 2019-05-23 |
| 1811455348 | Kisha Brady | Nurse Practitioner | 1350 Belmont Ave, Youngstown, OH 44504 | 2019-03-04 |
| 1750808473 | Janae White | Home Health | 2278 Cordova Ave, Youngstown, OH 44504 | 2017-08-23 |
| 1760910509 | Ryan Gallagher | Student in an Organized Health Care Education/Training Program | 1001 Covington Ave, Youngstown, OH 44504 | 2017-05-24 |
| 1649727314 | Bilal Abo Almakarim Kanawati | Specialist/Technologist, Other | 461 Gypsy Ln Apt 72, Youngstown, OH 44504 | 2016-09-09 |
| 1174979157 | Hiyam Abdelmagid | Internal Medicine | 1001 Covington Ave., Youngstown, OH 44504 | 2016-05-10 |
| 1962696419 | Earnest Perry, M.d., Inc. | Surgery | 1320 Belmont Avenue, Ste 2, Youngstonw, OH 44504 | 2007-08-28 |
| 1699839738 | Rodney Earl Hill | Family Medicine | 1350 Fifth Ave, Suite 324, Youngstown, OH 44504 | 2006-12-21 |
| 1710063987 | David A Hoffman | Internal Medicine | 1220 Belmont Avenue, Youngstown, OH 44504 | 2006-10-31 |
| Find all providers in zip 44504 | ||||
| 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 |
|---|---|---|---|---|
| 1720587785 | Canfield Leasing Co., LLC | Skilled Nursing Facility | 2958 Canfield Road, Youngstown, OH 44511 | 2018-02-06 |
| 1275758666 | Danridge Nursing Home Inc | Skilled Nursing Facility | 31 Maranatha Ct, Youngstown, OH 44505-4970 | 2007-04-13 |
| 1093808529 | Shepherd of The Valley Lutheran Retirement Services, Inc. | Skilled Nursing Facility | 7148 West Blvd., Youngstown, OH 44512-4336 | 2006-10-02 |
| 1508967084 | Camelot Arms Care Center, Inc. | Skilled Nursing Facility | 2958 Canfield Rd, Youngstown, OH 44511-2805 | 2006-09-26 |
| 1194826644 | Essex Healthcare Corporation | Skilled Nursing Facility | 650 S Meridian Rd, Youngstown, OH 44509-2932 | 2006-09-26 |
| 1902816739 | Omni Manor, Inc. | Skilled Nursing Facility | 3245 Vestal Rd, Youngstown, OH 44509-1062 | 2006-08-08 |
| 1528078342 | Omni Manor, Inc. | Skilled Nursing Facility | 1735 Belmont Ave, Youngstown, OH 44504-1111 | 2006-08-08 |
| 1720098460 | Liberty Health Care Center, Inc. | Skilled Nursing Facility | 1355 Churchill Hubbard Rd, Youngstown, OH 44505-1346 | 2006-08-08 |
| 1861419814 | Youngstown Area Jewish Federation | Skilled Nursing Facility | 517 Gypsy Ln, Youngstown, OH 44504-1314 | 2006-07-16 |
| 1760419915 | Burgundi Manor Operating Company, LLC | Skilled Nursing Facility | 31 Marantha Drive, Youngstown, OH 44505-4505 | 2006-06-26 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44504 |
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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.