SHEFFIELD MANOR, LLC (NPI# 1659928000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659928000 |
Entity Type | Organization |
Organization Name | SHEFFIELD MANOR, LLC |
Practice Address |
601 Sheffield Ave Dyer IN 46311-1167 |
Practice Telephone | 2193222273 |
Mailing Telephone | 2193222273 |
Enumeration Date | 2019-08-21 |
Last Update Date | 2019-08-21 |
Authorized Official Name | RON NUNZIATO JR. (CEO) |
Authorized Official Telephone | 8479053000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251T00000X | PACE Provider Organization | Agencies |
Other Name | Type Code |
---|---|
Sheffield Manor Assisted Living | Doing Business As Name - Organization |
Street Address |
601 SHEFFIELD AVE |
City | DYER |
State | IN |
Zip Code | 46311-1167 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316063977 | Major Hospital | Skilled Nursing Facility | 601 Sheffield Ave, Dyer, IN 46311-1167 | 2007-03-22 |
1003390345 | Milan Marinkovich Jr. | Occupational Therapist | 601 Sheffield Ave, Dyer, IN 46311-1167 | 2018-09-22 |
1821570201 | Ashley Elizabeth Faucault | Occupational Therapy Assistant | 601 Sheffield Ave, Dyer, IN 46311-1167 | 2018-09-03 |
1205112000 | Stephanie Popadic | Speech-Language Pathologist | 601 Sheffield Ave, Dyer, IN 46311-1167 | 2011-10-25 |
1053549170 | Kunwarjit Singh Duggal | Physical Medicine & Rehabilitation | 601 Sheffield Ave, Dyer, IN 46311-1167 | 2009-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
Find all providers in zip 46311 |
Taxonomy Code | 251T00000X |
Grouping | Agencies |
Classification | PACE Provider Organization |
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376998104 | Franciscan Senior Health and Wellness Dyer | PACE Provider Organization | 2150 Gettler St Ste 305, Dyer, IN 46311-2380 | 2016-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467074682 | Reid Hospital & Health Care Services, Inc. | PACE Provider Organization | 2300 National Rd W, Richmond, IN 47374-4625 | 2020-05-11 |
1225501455 | The Carter Williams Group, LLC | PACE Provider Organization | 5209 Hohman Ave Ste 3011, Hammond, IN 46320-1719 | 2019-01-10 |
1124593264 | Absolute Caregivers, LLC | PACE Provider Organization | 1258 Sullivans Rdg, Zionsville, IN 46077-9125 | 2018-10-04 |
1003466202 | Pace of Northeast Indiana | PACE Provider Organization | 2927 Lake Ave, Fort Wayne, IN 46805-5415 | 2019-09-19 |
1114314606 | Franciscan Senior Health and Wellness | PACE Provider Organization | 8325 E Southport Rd, Indianapolis, IN 46259-6805 | 2015-04-22 |
1326438938 | Md Medical Solutions, Inc | PACE Provider Organization | 133 W Market St, Suite 215, Indianapolis, IN 46204-2801 | 2015-02-03 |
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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.