NEW HAVEN CARE CENTER, INC (NPI# 1760479125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760479125 |
| Entity Type | Organization |
| Organization Name | NEW HAVEN CARE CENTER, INC |
| Practice Address |
9503 Highway 100 New Haven MO 63068-1300 |
| Practice Telephone | 5732372103 |
| Practice Fax Number | 5732373953 |
| Mailing Telephone | 5732372103 |
| Mailing Fax Number | 5732373953 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2011-12-07 |
| Authorized Official Name | MS. DOROTHY MARIE PATAKY (ADMINISTRATOR) |
| Authorized Official Telephone | 5732372103 |
| Authorized Official Credential | RN, NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 030642 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 101780807 | 05 |
| Street Address |
9503 HIGHWAY 100 |
| City | NEW HAVEN |
| State | MO |
| Zip Code | 63068-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558806356 | New Haven Hospice Care Inc | Hospice Care, Community Based | 9503 Highway 100, Suite 101, New Haven, MO 63068-1300 | 2017-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376013334 | Charles J Tritch | Physical Therapy Assistant | 9503 Mo-100, New Haven, MO 63068 | 2018-12-03 |
| 1982845442 | Barbara Eggert Dennis | Occupational Therapist | 9503 Hwy 100, New Haven Care Center Inc, New Haven, MO 63068 | 2009-03-13 |
| 1962669283 | Larry R Ficklin | Dentist | 104 Miller St, New Haven, MO 63068-1143 | 2008-05-22 |
| 1306975438 | Alternatives Care System, Inc. | Assisted Living Facility | 101 Arizona St, New Haven, MO 63068-1210 | 2007-03-05 |
| 1528511029 | Shawnda Jones | Occupational Therapy Assistant | 204 Macarthur St, New Haven, MO 63068-1262 | 2016-08-01 |
| 1497728562 | Thomas E Davis | Family Medicine | 9513 Highway 100, New Haven, MO 63068-1300 | 2006-02-09 |
| 1174719215 | Patients First Health Care LLC | Family Medicine | 9513 Highway 100, New Haven, MO 63068-1300 | 2007-09-21 |
| 1992918114 | Barbara E King | Nurse Practitioner | 9513 Highway 100, New Haven, MO 63068-1300 | 2007-05-07 |
| 1588672133 | New Haven Ambulance District | Ambulance | 110 Industrial Dr, New Haven, MO 63068-1303 | 2006-08-03 |
| 1063596351 | Jenifer K Moser | Dentist | 1009 Highway C, New Haven, MO 63068-1425 | 2006-10-24 |
| Find all providers in zip 63068 | ||||
| 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 |
|---|---|---|---|---|
| 1174622278 | Pratt's Rexall Drugs, Inc | Skilled Nursing Facility | 100 Dwayne Von Behren Dr, New Haven, MO 63068-3207 | 2006-09-22 |
| 1912930223 | Adams County Memorial Hospital | Skilled Nursing Facility | 1201 Daly Dr, New Haven, IN 46774 | 2006-07-09 |
| 1255379517 | Marathon Healthcare Center of New Haven LLC | Skilled Nursing Facility | 181 Clifton St, New Haven, CT 06513-3319 | 2006-06-02 |
| 1629053079 | Leeway, Inc | Skilled Nursing Facility | 40 Albert St, New Haven, CT 06511-1542 | 2005-12-08 |
| 1154318335 | Jewish Home for Aged | Skilled Nursing Facility | 169 Davenport Ave, New Haven, CT 06519 | 2005-10-03 |
| 1043207723 | Haven Health Center of New Haven, LLC | Skilled Nursing Facility | 915 Ella T Grasso Blvd, New Haven, CT 06519-5516 | 2005-09-29 |
| 1336599497 | Advanced Center for Nursing & Rehabilitation LLC | Skilled Nursing Facility | 169 Davenport Ave, New Haven, CT 06519-1319 | 2016-06-20 |
| 1467715755 | Yale-new Haven Care Continuum Corporation | Skilled Nursing Facility | 1354 Chapel St, New Haven, CT 06511-4420 | 2012-06-21 |
| 1285939041 | Advanced Nursing & Rehabilitation Center of New Haven LLC | Skilled Nursing Facility | 169 Davenport Ave, New Haven, CT 06519-1319 | 2011-01-25 |
| 1376777698 | Paradigm Healthcare Center of New Haven, LLC | Skilled Nursing Facility | 181 Clifton St, New Haven, CT 06513-3319 | 2009-05-14 |
| Find all providers in NEW HAVEN | ||||
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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.