EAST SIDE NURSING HOME, INC. (NPI# 1750389789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750389789 |
| Entity Type | Organization |
| Organization Name | EAST SIDE NURSING HOME, INC. |
| Other Organization Name | EAST SIDE NURSING & REHABILITATION CENTER |
| Practice Address |
62 Prospect St Warsaw NY 14569-1533 |
| Practice Telephone | 5857868151 |
| Practice Fax Number | 5857868390 |
| Mailing Telephone | 5857868151 |
| Mailing Fax Number | 5857868390 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. HAROLD P. COLLER (ADMINISTRATOR) |
| Authorized Official Telephone | 5857868151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 6027303N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00356083 | 05 |
| Other Name | Type Code |
|---|---|
| East Side Nursing & Rehabilitation Center | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EAST SIDE NURSING HOME, INC. | 1600 West 2nd Street Suite 110, Cleveland, Oh 44113 |
| Street Address |
62 PROSPECT ST |
| City | WARSAW |
| State | NY |
| Zip Code | 14569-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992331300 | Sadye Gonnella | Nurse Practitioner | 34 Dunkin Street, Warsaw, NY 14569 | 2020-03-17 |
| 1215576806 | Danielle Lynn Kwiecien | Physical Therapist | 400 N Main Warsaw Ny 14569, Warsaw, NY 14569 | 2019-12-30 |
| 1295975415 | Brandie Rajk-winter | Counselor | 433 North Main St., Warsaw, NY 14569 | 2009-02-27 |
| 1104048511 | Anthony Emmanuel Trigenis | Internal Medicine | 2 Karaoli St, Anixis, ATTIKIS 14569 | 2007-05-03 |
| 1477680908 | Nancy L. Mcnair | Occupational Therapy Assistant | 400 N. Main Street, Warsaw, NY 14569 | 2007-02-28 |
| 1821173360 | Carolyn Kate Schofield | Speech-Language Pathologist | 400 North Main St, Wyoming County Community Hospital, Warsaw, NY 14569 | 2006-10-25 |
| 1871673665 | Pamela Zola | Speech-Language Pathologist | Wyoming County Community Hospital, 400 North Main Street, Warsaw, NY 14569 | 2006-10-16 |
| 1538101696 | Dharam Paul Singla | Internal Medicine | 38 Duncan St, Suite 3, Warsaw, NY 14569 | 2006-06-12 |
| 1154386142 | Rajendrakumar M Patel | Internal Medicine | 5 Salina St, Warsaw, NY 14569 | 2006-04-20 |
| 1104881770 | Warsaw Ob Gyn PC | Obstetrics & Gynecology | 408 North Main St, Warsaw, NY 14569 | 2006-04-18 |
| Find all providers in zip 14569 | ||||
| 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 |
|---|---|---|---|---|
| 1023386190 | Afs of Warsaw, Inc. | Skilled Nursing Facility | 214 Lanefield Road, Warsaw, NC 28398 | 2011-12-05 |
| 1629136197 | Kornegay Healthcare, Inc. | Skilled Nursing Facility | 214 Lanefield Rd, Warsaw, NC 28398-8719 | 2006-12-05 |
| 1609952993 | Hancock Regional Hospital | Skilled Nursing Facility | 2695 Sheldon Street, Warsaw, IN 46582-0000 | 2006-10-29 |
| 1184731655 | Riverview Hospital | Skilled Nursing Facility | 900 Provident Dr, Warsaw, IN 46580-3252 | 2006-08-23 |
| 1942213871 | Medical Facilities of America Xx &xxx | Skilled Nursing Facility | 5373 Richmond Rd, Warsaw, VA 22572-4220 | 2006-08-14 |
| 1356397855 | Northport Health Services of Missouri, LLC | Skilled Nursing Facility | 1609 Sunchase Dr, Warsaw, MO 65355-3059 | 2006-05-26 |
| 1891781985 | Cathedralrock | Skilled Nursing Facility | 300 E Prairie St, Warsaw, IN 46580-4429 | 2005-09-23 |
| 1477979904 | Gallatinidence Opco, LLC | Skilled Nursing Facility | 499 Center Ave, Warsaw, KY 41095-9754 | 2014-03-07 |
| 1679836621 | Toni Fahler | Skilled Nursing Facility | 900 Provident Dr, Warsaw, IN 46580-3252 | 2012-06-22 |
| 1780849448 | Miller's Health Systems, Inc. | Skilled Nursing Facility | 1690 S County Farm Rd, Warsaw, IN 46580-8248 | 2008-07-22 |
| Find all providers in WARSAW | ||||
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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.