SPRINGFIELD HEALTH CENTER LLC (NPI# 1801371125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801371125 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD HEALTH CENTER LLC |
| Practice Address |
420 E Grundy Ave Springfield KY 40069-1173 |
| Practice Telephone | 8593367771 |
| Practice Fax Number | 8593369571 |
| Mailing Telephone | 8593367771 |
| Mailing Fax Number | 8593369571 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | MOSHE KELMAN (MANAGING MEMBER) |
| Authorized Official Telephone | 9176131662 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LICENSE | 100412 | 01 |
| Other Name | Type Code |
|---|---|
| Springfield Nursing and Rehabilitation Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Springfield Health Center LLC | 8819 Western Hemlock Way, Lorton, Virginia 22079 |
| Street Address |
420 E GRUNDY AVE |
| City | SPRINGFIELD |
| State | KY |
| Zip Code | 40069-1173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376617837 | Extendicare Homes, Inc. | Skilled Nursing Facility | 420 E Grundy Ave, Springfield, KY 40069-1173 | 2006-11-17 |
| 1386904563 | Springfield Health Facilities Lp | Skilled Nursing Facility | 420 E Grundy Ave, Springfield, KY 40069-1173 | 2012-05-22 |
| 1780959528 | Shana Nicole Baker | Physical Therapy Assistant | 420 E Grundy Ave, Springfield, KY 40069-1173 | 2012-03-13 |
| 1275730400 | Joanna Filiatreau Tennill | Physical Therapy Assistant | 420 E Grundy Ave, Springfield, KY 40069-1173 | 2007-06-29 |
| 1780881227 | Eric Joseph Coulter | Physical Therapist | 420 E Grundy Ave, Springfield, KY 40069-1173 | 2007-06-28 |
| 1841497377 | Mollie Sullivan Blair | Occupational Therapist | 420 E Grundy Ave, Springfield Nsg and Rehab Center, Springfield, KY 40069-1173 | 2007-06-28 |
| 1578760054 | Lucy A Rucker | Speech-Language Pathologist | 420 E Grundy Ave, Springfield, KY 40069-1173 | 2007-06-28 |
| 1457558975 | Rhonda Riney | Occupational Therapist | 420 E Grundy Ave, Springfield, KY 40069-1173 | 2007-06-28 |
| 1427255991 | Gail Ballard Taylor | Physical Therapy Assistant | 420 E Grundy Ave, Springfield, KY 40069-1173 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972901189 | Fred's Stores of Tennessee Inc | Pharmacy | 1117 Lincoln Park Rd, Springfield, KY 40069 | 2014-12-22 |
| 1730455346 | Christina Nicole Saunier | Speech-Language Pathologist | 716 East Grundy Ave, Springfield, KY 40069 | 2012-03-28 |
| 1912157207 | Allison Brooke Ballard | Social Worker | 2373 Lincoln Park Rd, Springfield, KY 40069 | 2008-09-24 |
| 1497737001 | Lincoln Trail District Health Dept | Public Health or Welfare | 302 E Main St, Springfield, KY 40069 | 2005-11-18 |
| 1497267637 | Jonathon Lee Ennis | Physician Assistant | 805 Bardstown Rd, Springfield, KY 40069 | 2017-10-27 |
| 1619496395 | Family Wellcare Clinic, Pllc | Internal Medicine | 805 Bardstown Rd Ste 12, Springfield, KY 40069 | 2017-09-14 |
| 1750562690 | Washington County Schools | Local Education Agency (LEA) | 120 Mackville Hl, Springfield, KY 40069-1013 | 2007-11-20 |
| 1912028309 | Colette M Hill | Massage Therapist | 114 S Walnut St, Springfield, KY 40069-1104 | 2007-04-03 |
| 1083751424 | Communicare Inc | Community/Behavioral Health | 324 E Main St, Springfield, KY 40069-1127 | 2007-02-01 |
| 1639654809 | Bardstown Primary Care, Pllc | Clinic/Center | 102 W Depot St, Springfield, KY 40069-1159 | 2018-10-03 |
| Find all providers in zip 40069 | ||||
| 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 |
|---|---|---|---|---|
| 1508373838 | Sunterra Springfield Oc, LLC | Skilled Nursing Facility | 4935 S National Ave, Springfield, MO 65810 | 2018-01-09 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1376054197 | Trilogy Healthcare Operations of Springfield II, LLC | Skilled Nursing Facility | 2900 Bechtle Avenue, Springfield, OH 45504 | 2017-10-19 |
| 1033559349 | Marquis Care | Skilled Nursing Facility | 25 U St, Springfield, OR 97477-2155 | 2013-07-01 |
| 1447592118 | Ojcc LLC | Skilled Nursing Facility | 3089 Old Jacksonville Rd, Springfield, IL 62704-6486 | 2013-03-20 |
| 1225310246 | Lutheran Retirement Center Association | Skilled Nursing Facility | 4101 W Iles Ave, Springfield, IL 62711-7051 | 2011-09-15 |
| 1073747077 | The Maples Health and Rehabilitation, LLC | Skilled Nursing Facility | 610 W Sunset St, Springfield, MO 65807-3696 | 2009-05-06 |
| 1104034289 | Capitol Care Center, LLC | Skilled Nursing Facility | 555 W Carpenter St, Springfield, IL 62702-4905 | 2007-05-20 |
| 1396862314 | Good Shepherd Village LLC | Skilled Nursing Facility | 422 N Burnett Rd, Springfield, OH 45503-4821 | 2007-03-23 |
| 1346374949 | Woodland Manor Limited Partnership | Skilled Nursing Facility | 2000 Villa Rd, Springfield, OH 45503-1761 | 2007-03-15 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 40069 |
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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.