SEBASTICOOK VALLEY HEALTH CARE FACILITY INC. (NPI# 1811093909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811093909 |
Entity Type | Organization |
Organization Name | SEBASTICOOK VALLEY HEALTH CARE FACILITY INC. |
Practice Address |
167 Leighton St Pittsfield ME 04967-3718 |
Mailing Address |
167 Leighton St Pittsfield ME 04967 |
Practice Telephone | 2074873131 |
Practice Fax Number | 2074873435 |
Mailing Telephone | 2074873131 |
Mailing Fax Number | 2074873435 |
Enumeration Date | 2006-09-15 |
Last Update Date | 2012-10-05 |
Authorized Official Name | MARY JOYCE FORD (ADMINISTRATOR) |
Authorized Official Telephone | 2074873131 |
Authorized Official Credential | RN LIC NURS HOME |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 313M00000X | Nursing Facility/Intermediate Care Facility | 36368 | ME | Nursing & Custodial Care Facilities |
Y | 314000000X | Skilled Nursing Facility | 36368 | ME | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 108390000 | 05 |
Street Address |
167 LEIGHTON ST |
City | PITTSFIELD |
State | ME |
Zip Code | 04967-3718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841724671 | Meaghan Geroux | Dietitian, Registered | 167 Leighton St, Pittsfield, ME 04967-3718 | 2017-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700369667 | Cross Roads Case Management LLC | Case Management | 442 Main Street, Pittsfield, ME 04967 | 2018-09-07 |
1740493527 | Msad #53 | Local Education Agency (LEA) | 167 School Street, Suite A, Pittsfield, ME 04967 | 2007-05-08 |
1164580957 | Ciro Thomas Olivares | Social Worker | 12 Waverly Avenue, Pittsfield, ME 04967 | 2006-12-05 |
1851459465 | Waltz Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 166 North Main Street, Pittsfield, ME 04967 | 2006-12-05 |
1164525739 | Susan C Mcewen | Social Worker | 20 Waverly Ave, Pittsfield, ME 04967 | 2006-09-07 |
1467432955 | Robert John Schlager | Family Medicine | 447 N. Main Street, Pittsfield, ME 04967 | 2006-01-19 |
1407840309 | Flint C Reid | Optometrist | 453 Main Street, Pittsfield, ME 04967 | 2005-09-07 |
1699771980 | Sebasticook Valley Home Care | Home Health | 49 Main Street, Pittsfield, ME 04967 | 2005-06-22 |
1730593781 | Jeremy West | Chiropractor | 221 Somerset Ave, Pittsfield, ME 04967 | 2014-06-18 |
1598998916 | West Chiropractic LLC | Chiropractor | 221 Somerset Ave, Pittsfield, ME 04967 | 2009-09-02 |
Find all providers in zip 04967 |
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 |
---|---|---|---|---|
1942391461 | Berkshire Retirement Home, Inc. | Skilled Nursing Facility | 290 South St, Pittsfield, MA 01201-6824 | 2006-09-28 |
1285672766 | Petersen Health Operations, LLC | Skilled Nursing Facility | 1400 E Washington St, Pittsfield, IL 62363-9586 | 2006-06-04 |
1902880040 | Quaside Inc | Skilled Nursing Facility | 255 Lebanon Avenue, Pittsfield, MA 01201-7828 | 2005-12-02 |
1992792147 | Unlimited Development Inc. | Skilled Nursing Facility | 610 Lowry Street, Pittsfield, IL 62363-1700 | 2005-10-03 |
1801213715 | Gahcr II Pittsfield Ma Snf Trs Sub, LLC | Skilled Nursing Facility | 255 Lebanon Ave, Pittsfield, MA 01201-7828 | 2014-03-28 |
1316280019 | Videll Healthcare Springside, L.L.C. | Skilled Nursing Facility | 255 Lebanon Ave, Pittsfield, MA 01201-7828 | 2013-04-01 |
1831497858 | Sheehan Purchase, LLC | Skilled Nursing Facility | 255 Lebanon Ave, Pittsfield, MA 01201-7828 | 2011-03-01 |
1295064947 | Pittsfield Management Systems Inc. | Skilled Nursing Facility | 1000 North St, Pittsfield, MA 01201-1520 | 2009-12-09 |
1093969008 | Petersen Health Operations, LLC | Skilled Nursing Facility | 1400 E Washington St, Pittsfield, IL 62363-9586 | 2008-11-05 |
1417170408 | Mt Greylock Nursing LLC | Skilled Nursing Facility | 1000 North St, Pittsfield, MA 01201-1520 | 2007-04-10 |
Find all providers in PITTSFIELD |
City | PITTSFIELD |
Zip Code | 04967 |
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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.