PARK VILLAGE HEALTH CARE CENTER INC (NPI# 1750375473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750375473 |
| Entity Type | Organization |
| Organization Name | PARK VILLAGE HEALTH CARE CENTER INC |
| Practice Address |
1525 N Crater Ave Dover OH 44622-9558 |
| Practice Telephone | 3303644436 |
| Practice Fax Number | 3303430694 |
| Mailing Telephone | 3303644436 |
| Mailing Fax Number | 3303430694 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT O'DONNELL (ADMINISTRATOR) |
| Authorized Official Telephone | 3303644436 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 4714 | OH | Nursing & Custodial Care Facilities |
| Street Address |
1525 N CRATER AVE |
| City | DOVER |
| State | OH |
| Zip Code | 44622-9558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508377 | Rosa Ann Cleaver | Nurse Practitioner | 205 Medical Park Drive, Dover, OH 44622 | 2018-12-03 |
| 1225528417 | Kimberly A Wetzel | Social Worker | 201 Medical Park Dr., Dover, OH 44622 | 2018-05-14 |
| 1598278293 | Linda Kimble | Registered Nurse | 204 S Bellview Ave, Dover, OH 44622 | 2017-11-16 |
| 1932628385 | Stacy Martin | Counselor | Tuscarawas County Alcohol and Addiction Program, 897 E. Iron Ave., Dover, OH 44622 | 2017-09-18 |
| 1689110918 | Jamie Renee' Wallace | Registered Nurse | 201 - Hospital Drive, Dover, OH 44622 | 2017-01-10 |
| 1205284577 | Jamey Harlan | Health Educator | 500 Boulevard, Dover, OH 44622 | 2016-05-27 |
| 1447689575 | Kelly Schneiders | Nurse Practitioner | 201 Medical Drive, Dover, OH 44622 | 2013-11-08 |
| 1891122214 | Christa Renee Hatfield-lewis | Counselor | 201 Hospital Drive, Dover, OH 44622 | 2013-09-30 |
| 1790032688 | Audio Hearing Aid Service LLC | Hearing Instrument Specialist | 2630 N. Wooster Ave., Dover, OH 44622 | 2012-08-09 |
| 1376818286 | Tracy Louise Turck | Licensed Practical Nurse | 920 Boulvard St, Dover, OH 44622 | 2012-03-12 |
| Find all providers in zip 44622 | ||||
| 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 |
|---|---|---|---|---|
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1083796734 | Courtland Manor Inc. | Skilled Nursing Facility | 889 S Little Creek Rd, Dover, DE 19901-4721 | 2006-10-20 |
| 1821178427 | Country Club Center Homes, Inc | Skilled Nursing Facility | 860 E Iron Ave, Dover, OH 44622-2031 | 2006-10-17 |
| 1114018645 | Professional Service Group LLC | Skilled Nursing Facility | 9 E Loockerman St Ste 3a, Dover, DE 19901-7316 | 2006-09-28 |
| 1467497834 | Dover Health Care Associates Inc | Skilled Nursing Facility | 1080 Silver Lake Blvd, Dover, DE 19904-2410 | 2006-06-18 |
| 1548258676 | Diversicare Leasing Corp. | Skilled Nursing Facility | 537 Spring St, Dover, TN 37058-3232 | 2005-10-12 |
| 1033106968 | Saint Clare's Hospital Inc. | Skilled Nursing Facility | 400 W Blackwell St, Dover, NJ 07801-2525 | 2005-10-05 |
| 1306830625 | Presbyterian Homes Inc. | Skilled Nursing Facility | 1175 Mckee Rd, Dover, DE 19904-2268 | 2005-09-01 |
| 1841294832 | New Dawn Health Care Inc | Skilled Nursing Facility | 865 E Iron Ave, Dover, OH 44622-2099 | 2005-06-08 |
| 1932755626 | New Dawn Nursing | Skilled Nursing Facility | 865 E Iron Ave, Dover, OH 44622-2099 | 2019-08-18 |
| Find all providers in DOVER | ||||
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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.