RIDDLE VILLAGE (NPI# 1679570196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679570196 |
| Entity Type | Organization |
| Organization Name | RIDDLE VILLAGE |
| Other Organization Name | MONTICELLO HOUSE |
| Practice Address |
1048 W Baltimore Pike Media PA 19063-5149 |
| Practice Telephone | 6108913806 |
| Practice Fax Number | 6108913829 |
| Mailing Telephone | 6108913806 |
| Mailing Fax Number | 6108913829 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KIM ROGUSZEUSKI (CFO/VICE PRESIDENT) |
| Authorized Official Telephone | 6108913783 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 017302 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDEPENDENCE BLUE CROSS | 1451 | 01 |
| PA | AETNA/US HEALTHCARE | 576790 | 01 |
| PA | HIGHMARK BLUE CROSS | 391335 | 01 |
| Other Name | Type Code |
|---|---|
| Monticello House | Other Name - Individual/Organization |
| Street Address |
1048 W BALTIMORE PIKE |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-5149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398552 | Adriana Piscitelli | Occupational Therapist | 1048 W Baltimore Pike, Media, PA 19063-5168 | 2020-05-26 |
| 1740762251 | Michele Dangerfield | Physical Therapy Assistant | 1048 W Baltimore Pike, Media, PA 19063-6300 | 2018-08-30 |
| 1144702861 | Saurin Jain | Physical Medicine & Rehabilitation | 1048 W Baltimore Pike, Media, PA 19063-6300 | 2018-08-29 |
| 1457833253 | Michelle Chodosh | Occupational Therapist | 1048 W Baltimore Pike, Media, PA 19063-5168 | 2018-08-29 |
| 1508348269 | Kaitlin Marie Ensulo | Occupational Therapist | 1048 W Baltimore Pike, Media, PA 19063-6300 | 2018-08-29 |
| 1952882797 | Courtney Zeuner | Speech-Language Pathologist | 1048 W Baltimore Pike, Media, PA 19063-6300 | 2018-08-28 |
| 1083110472 | Ranisha Nelson | Speech-Language Pathologist | 1048 W Baltimore Pike, Media, PA 19063-6300 | 2018-04-04 |
| 1295193936 | Houman Ziai | Occupational Therapist | 1048 W Baltimore Pike, Media, PA 19063-5149 | 2016-02-09 |
| 1861875098 | Cathy Griglione | Skilled Nursing Facility | 1048 W Baltimore Pike, Media, PA 19063-5149 | 2015-07-07 |
| 1407117005 | Crestina Rodrigues | Nurse Practitioner | 1048 W Baltimore Pike, Media, PA 19063-6300 | 2012-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
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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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013902253 | Martins Run | Skilled Nursing Facility | 11 Martins Run, Media, PA 19063-1057 | 2005-09-14 |
| 1598761579 | Sterling Healthcare & Rehab Center LLC | Skilled Nursing Facility | 316 S Orange St, Media, PA 19063-3614 | 2005-06-23 |
| 1861875098 | Cathy Griglione | Skilled Nursing Facility | 1048 W Baltimore Pike, Media, PA 19063-5149 | 2015-07-07 |
| 1306968672 | Genesis Eldercare Rehab Services | Skilled Nursing Facility | 11 Martins Run, Media, PA 19063-1057 | 2007-04-05 |
| 1578534244 | Riddle Memorial Hospital | Skilled Nursing Facility | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990675 | Elizabethtown Opco LLC | Skilled Nursing Facility | 141 Heisey Avenue, Elizabethtown, PA 17022-8107 | 2020-10-22 |
| 1689273500 | Southwestern Healthcare Operations LLC | Skilled Nursing Facility | 500 Lewis Run Road, Pittsburgh, PA 15122-3056 | 2020-10-21 |
| 1922626290 | Brsi, Lp | Skilled Nursing Facility | 303 Walnut St Fl 7, Harrisburg, PA 17101-1825 | 2020-07-13 |
| 1932727591 | 1425 Horsham Snf Operations LLC | Skilled Nursing Facility | 1425 Horsham Road, North Wales, PA 19454-1320 | 2020-07-10 |
| 1184242182 | Conestoga View Snf Operations LLC | Skilled Nursing Facility | 900 E King Street, Lancaster, PA 17602-3272 | 2020-07-07 |
| 1164040168 | Mountain View Snf Operations LLC | Skilled Nursing Facility | 2050 Trevorton Road, Coal Township, PA 17866-9405 | 2020-07-07 |
| 1508484502 | Timber Ridge Snf Operations LLC | Skilled Nursing Facility | 1555 East End Boulevard, Plains Twp, PA 18702-7927 | 2020-07-07 |
| 1205456704 | Embassy Sharon, LLC | Skilled Nursing Facility | 959 E. State Street, Sharon, PA 16146 | 2020-04-24 |
| 1952940785 | Newport Meadows Health and Rehabilitation Center LLC | Skilled Nursing Facility | 41 Newport Avenue, Christina, PA 17509-1305 | 2019-12-26 |
| 1851954176 | Silvercare Skilled Nursing LLC | Skilled Nursing Facility | 2600 W 9th St Unit A, Chester, PA 19013-2040 | 2019-04-22 |
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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.