HOLGATE CARE CENTER, LLC (NPI# 1760572564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760572564 |
| Entity Type | Organization |
| Organization Name | HOLGATE CARE CENTER, LLC |
| Other Organization Name | VANCREST HEALTH CARE CENTER OF HOLGATE |
| Practice Address |
600 Joe E Brown Ave Holgate OH 43527-9803 |
| Practice Telephone | 4192640700 |
| Mailing Telephone | 4192640700 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RENEE EYANSON (ACCOUNTS RECEIVABLE MANAGER) |
| Authorized Official Telephone | 4192640700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 6278 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2366112 | 05 | |
| OH | ANTHEM | 000000216324 | 01 |
| Other Name | Type Code |
|---|---|
| Vancrest Health Care Center of Holgate | Doing Business As Name - Organization |
| Street Address |
600 JOE E BROWN AVE |
| City | HOLGATE |
| State | OH |
| Zip Code | 43527-9803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508371204 | Rachel Wells | Licensed Practical Nurse | 216 Frazier Ave, Holgate, OH 43527-9536 | 2017-12-05 |
| 1639540164 | Geraldine A Hernandez | Licensed Practical Nurse | 13634 County Road J, Holgate, OH 43527-9721 | 2015-10-09 |
| 1811455546 | Antoinette D. Gibson | Registered Nurse | 15828 State Route 281, Holgate, OH 43527-9776 | 2019-03-12 |
| 1790925451 | Holgate Local School District | Local Education Agency (LEA) | 801 Joe E Brown Ave, Holgate, OH 43527-9802 | 2009-02-20 |
| 1841777059 | Myriah Leigh Rode | Speech-Language Pathologist | 801 Joe E Brown Ave, Holgate, OH 43527-9802 | 2018-07-20 |
| 1376903773 | Diane Nicholson | Licensed Practical Nurse | 801 Joe E Brown Ave, Holgate, OH 43527-9802 | 2016-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811455546 | Antoinette D. Gibson | Registered Nurse | 15828 State Route 281, Holgate, OH 43527-9776 | 2019-03-12 |
| 1508371204 | Rachel Wells | Licensed Practical Nurse | 216 Frazier Ave, Holgate, OH 43527-9536 | 2017-12-05 |
| 1639540164 | Geraldine A Hernandez | Licensed Practical Nurse | 13634 County Road J, Holgate, OH 43527-9721 | 2015-10-09 |
| 1790925451 | Holgate Local School District | Local Education Agency (LEA) | 801 Joe E Brown Ave, Holgate, OH 43527-9802 | 2009-02-20 |
| 1841777059 | Myriah Leigh Rode | Speech-Language Pathologist | 801 Joe E Brown Ave, Holgate, OH 43527-9802 | 2018-07-20 |
| 1376903773 | Diane Nicholson | Licensed Practical Nurse | 801 Joe E Brown Ave, Holgate, OH 43527-9802 | 2016-02-26 |
| 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. |
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| 1083260988 | Trilogy Healthcare of Tiffin, LLC | Skilled Nursing Facility | 410 Fair Lane, Tiffin, OH 44883 | 2019-08-15 |
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| 1205482189 | Trilogy Healthcare of Franklin IIi, LLC | Skilled Nursing Facility | 7320 Smith's Mill Road, New Albany, OH 43054 | 2019-08-15 |
| 1972164713 | Cardinal Delaware, Inc. | Skilled Nursing Facility | 6975 Graphics Way, Lewis Center, OH 43035 | 2019-06-24 |
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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.