PENN YAN MANOR NURSING HOME, INC. (NPI# 1760476568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760476568 |
| Entity Type | Organization |
| Organization Name | PENN YAN MANOR NURSING HOME, INC. |
| Practice Address |
655 Liberty St Penn Yan NY 14527-1048 |
| Practice Telephone | 3155362311 |
| Practice Fax Number | 3155361033 |
| Mailing Telephone | 3155362311 |
| Mailing Fax Number | 3155361033 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2011-10-17 |
| Authorized Official Name | MR. COLIN A MAHER (ADMINISTRATOR) |
| Authorized Official Telephone | 3155362311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 6120300N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00355711 | 05 | |
| NY | PFI | 1162 | 01 |
| NY | OPERATING CERTIFICATE | 6120300N | 01 |
| Street Address |
655 LIBERTY ST |
| City | PENN YAN |
| State | NY |
| Zip Code | 14527-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336363308 | Lois V. Howard | Nurse Practitioner | 655 Liberty St, Penn Yan, NY 14527-1048 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523624 | Patrick James Lenney | Social Worker | 418 N. Main St, Penn Yan, NY 14527 | 2020-03-13 |
| 1568937340 | Robert D Knapp Independent At Home | Clinic/Center | 1 Keuka Business Park Suite201, Penn Yan, NY 14527 | 2018-10-09 |
| 1912241555 | Janis Michele Jepsen | Specialist | 417 Liberty Street Suite 2120, Penn Yan, NY 14527 | 2012-11-20 |
| 1316031057 | Kimberly A Newell | Nurse Anesthetist, Certified Registered | 418 North Main Street, Penn Yan, NY 14527 | 2006-10-03 |
| 1346341625 | Kathleen Gail Obrien | Nurse Practitioner | 465 North Main Street, Penn Yan, NY 14527 | 2006-09-26 |
| 1699877209 | Deborah L Casson | Nurse Practitioner | 1 Keuka Business Park, Penn Yan, NY 14527 | 2006-09-03 |
| 1205377454 | Nancy Stone | Community Health Worker | 1 Keuka Business Park, Suite 205, Penn Yan, NY 14527 | 2017-03-20 |
| 1386786895 | James L Coles Lcsw, PC | Social Worker | 1 Keuka Business Park, Penn Yan, NY 14527 | 2007-02-12 |
| 1124181094 | Sherri L Borglum | Counselor | 21 Main St, Penn Yan, NY 14527 | 2006-12-19 |
| 1033215934 | Janet Lisa Lewis | Psychiatry & Neurology | 108 Kimball Ave, Suite 1, Penn Yan, NY 14527 | 2006-09-16 |
| Find all providers in zip 14527 | ||||
| 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 |
|---|---|---|---|---|
| 1376686162 | Soldiers & Sailors Memorial Hospital | Skilled Nursing Facility | 418 N Main St, Penn Yan, NY 14527-1070 | 2007-02-14 |
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| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
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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.