MCKERLEY HEALTH CARE CENTERS INC. (NPI# 1720020290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720020290 |
| Entity Type | Organization |
| Organization Name | MCKERLEY HEALTH CARE CENTERS INC. |
| Other Organization Name | LEBANON CENTER |
| Practice Address |
24 Old Etna Rd Lebanon NH 03766-1937 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 6034482234 |
| Practice Fax Number | 6034482087 |
| Mailing Telephone | 6109254436 |
| Mailing Fax Number | 6109254351 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | JANE DROPESKEY (CORPORATE MANAGER) |
| Authorized Official Telephone | 6109254231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 02289 | NH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA-HMO | 1038917 | 01 | |
| VT | 305050 | 05 | |
| ANTHEM | 30-5050 | 01 | |
| CIGNA - NH | 365167 | 01 | |
| NH | 30002722 | 05 | |
| MVP HEALTH PLAN | 889915 | 01 | |
| CIGNA - NH - VENDOR # | 36766 | 01 | |
| HARVARD PILGRIM | 903354 | 01 |
| Other Name | Type Code |
|---|---|
| Lebanon Center | Doing Business As Name - Organization |
| Street Address |
24 OLD ETNA RD |
| City | LEBANON |
| State | NH |
| Zip Code | 03766-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659980241 | Michaela Bish | Physical Therapist | 24 Old Etna Rd, Lebanon, NH 03766-1937 | 2020-07-29 |
| 1952806861 | Adam Balamuth | Physical Therapy Assistant | 24 Old Etna Rd, Lebanon, NH 03766-1937 | 2018-03-25 |
| 1043677321 | Lauren Mcadam | Speech-Language Pathologist | 24 Old Etna Rd, Lebanon, NH 03766-1937 | 2016-01-18 |
| 1184099848 | Julie Bascom | Speech-Language Pathologist | 24 Old Etna Rd, Lebanon, NH 03766-1937 | 2015-12-07 |
| 1275903502 | Amanda Geary | Occupational Therapy Assistant | 24 Old Etna Rd, Lebanon, NH 03766-1937 | 2015-09-29 |
| 1255716627 | Jonathan Daley | Physical Therapy Assistant | 24 Old Etna Rd, Lebanon, NH 03766-1937 | 2015-07-27 |
| 1780062174 | Desiree Placey | Occupational Therapy Assistant | 24 Old Etna Rd, Lebanon, NH 03766-1937 | 2015-05-18 |
| 1700208295 | Albert Miltner | Occupational Therapist | 24 Old Etna Rd, Lebanon, NH 03766-1937 | 2014-01-17 |
| 1003241423 | Matt Sheaff | Physical Therapy Assistant | 24 Old Etna Rd, Lebanon, NH 03766-1937 | 2013-09-04 |
| 1972857365 | Alessandra Lafiandra | Speech-Language Pathologist | 24 Old Etna Rd, Lebanon, NH 03766-1937 | 2012-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1811282288 | Lisa Golden Morse | Occupational Therapist | 23 Mahon St, Lebanon, NH 03766 | 2011-06-14 |
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1457673857 | Melanie A Baker | Dental Hygienist | One Court Street, Suite 270, Lebanon, NH 03766 | 2010-02-26 |
| 1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
| 1235317512 | Leslie Sudak | Speech-Language Pathologist | 10 Mascoma St, Lebanon, NH 03766 | 2008-02-08 |
| 1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
| 1588879951 | Charles R Meyers | Acupuncturist | 2 Whipple Place, Lebanon, NH 03766 | 2007-05-11 |
| 1285859686 | Thomas A Johnston | Dentist | 206 Heater Road, Lebanon, NH 03766 | 2007-04-13 |
| Find all providers in zip 03766 | ||||
| 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 |
|---|---|---|---|---|
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1982094587 | Mindy Walker | Skilled Nursing Facility | 942 Balsam Wood Ln, Lebanon, OH 45036-8528 | 2015-02-03 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| 1922239789 | Genesis Rehab | Skilled Nursing Facility | 847 Kirby Road, Lebanon, OH 45036 | 2009-07-28 |
| 1740443910 | Kindred Nursing Centers East LLC | Skilled Nursing Facility | 700 Monroe Rd, Lebanon, OH 45036-1409 | 2008-07-08 |
| 1093925612 | Cedars Nursing Home Inc. | Skilled Nursing Facility | 932 E Baddour Pkwy, Lebanon, TN 37087-3707 | 2007-05-23 |
| 1851412407 | Ssc Lebanon Operating Company LLC | Skilled Nursing Facility | 731 Castle Heights Ct, Lebanon, TN 37087-2646 | 2007-04-02 |
| 1972634285 | Healthcare Opportunities Inc | Skilled Nursing Facility | 102 E Silver St, Lebanon, OH 45036-1812 | 2007-03-08 |
| 1891874798 | The Good Samaritan Hospital | Skilled Nursing Facility | Fourth and Willow Streets, Lebanon, PA 17042 | 2006-11-03 |
| 1578649703 | Quality Care Investors | Skilled Nursing Facility | 932 Baddour Pkwy, Lebanon, TN 37087 | 2006-10-31 |
| Find all providers in LEBANON | ||||
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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.