MASONIC HOMES AT ELIZABETHTOWN GD LDG OF FREE & ACCPTD MASONS PA (NPI# 1811978398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811978398 |
| Entity Type | Organization |
| Organization Name | MASONIC HOMES AT ELIZABETHTOWN GD LDG OF FREE & ACCPTD MASONS PA |
| Other Organization Name | MASONIC VILLAGE AT SEWICKLEY |
| Practice Address |
1000 Masonic Dr Sewickley PA 15143-2328 |
| Practice Telephone | 4127411400 |
| Mailing Telephone | 4127411400 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2012-04-27 |
| Authorized Official Name | WILLIAM J. PRAZENICA (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7173671121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 221402 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000027230008 | 05 | |
| PA | SECURITY BLUE | 0579 | 01 |
| Other Name | Type Code |
|---|---|
| Masonic Village at Sewickley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285615773 | Masonic Homes At Elizabethtown Gd Ldg of Free & Accptd Masons Pa | Skilled Nursing Facility | 850 Norristown Rd, Warminster, PA 18974-2628 | 2005-11-10 |
| 1760474472 | Masonic Homes At Elizabethtown Gd Ldg of Free & Accptd Masons Pa | Assisted Living Facility | 801 Ridge Pike, Lafayette Hill, PA 19444-1723 | 2005-08-18 |
| 1285865345 | Masonic Homes At Elizabethtown Gd Ldg of Free & Accptd Masons Pa | Hospice, Inpatient | 581 Freemason Dr, Elizabethtown, PA 17022-3187 | 2009-08-06 |
| 1982745899 | Masonic Homes At Elizabethtown Gd Ldg of Free & Accptd Masons Pa | Dentist | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2007-02-12 |
| 1235197187 | Masonic Homes At Elizabethtown Gd Ldg of Free & Accptd Masons Pa | Clinical Medical Laboratory | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2006-05-02 |
| 1477511442 | Masonic Homes At Elizabethtown Gd Ldg of Free & Accptd Masons Pa | Psychologist | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2006-05-01 |
| 1740261221 | Masonic Homes At Elizabethtown Gd Ldg of Free & Accptd Masons Pa | Skilled Nursing Facility | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2005-11-10 |
| Street Address |
1000 MASONIC DR |
| City | SEWICKLEY |
| State | PA |
| Zip Code | 15143-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215573092 | Megan Duffy | Occupational Therapist | 1000 Masonic Dr, Sewickley, PA 15143-2328 | 2019-11-26 |
| 1255858189 | Kristen Nicole Cheddar | Occupational Therapy Assistant | 1000 Masonic Dr, Sewickley, PA 15143-2328 | 2017-08-22 |
| 1639692379 | April Monastrial | Physical Therapist | 1000 Masonic Dr, Sewickley, PA 15143-2328 | 2017-07-25 |
| 1982139317 | Michelle Wadsworth | Occupational Therapy Assistant | 1000 Masonic Dr, Sewickley, PA 15143-2328 | 2017-04-24 |
| 1932652435 | Kyle Detsch | Physical Therapist | 1000 Masonic Dr, Sewickley, PA 15143-2328 | 2016-08-01 |
| 1730558727 | Megan Dillon | Occupational Therapist | 1000 Masonic Dr, Sewickley, PA 15143-2328 | 2015-09-19 |
| 1366834343 | Marla Jean Dicanio | Licensed Vocational Nurse | 1000 Masonic Dr, Sewickley, PA 15143-2328 | 2015-02-27 |
| 1043627896 | Patricia Seizak | Occupational Therapy Assistant | 1000 Masonic Dr, Sewickley, PA 15143-2328 | 2014-07-14 |
| 1275878613 | Emily Szymanski | Occupational Therapist | 1000 Masonic Dr, Sewickley, PA 15143-2328 | 2012-12-11 |
| 1639425275 | Stephanie Ann Huff | Physical Therapy Assistant | 1000 Masonic Dr, Sewickley, PA 15143-2328 | 2012-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679082713 | Annie Cares, Inc. | Case Management | 207 Timber Lane, Sewickley, PA 15143 | 2017-09-20 |
| 1083132617 | Andrew Wu | Specialist/Technologist | 1420 North Shevlin Court, Sewickley, PA 15143 | 2017-09-04 |
| 1619498706 | Marisa Lynn Ciamacca | Optometrist | 2591 Wexford Bayne Rd Ste 104, Sewickley, PA 15143 | 2017-06-29 |
| 1730619644 | Eva Marie Haddad | Physician Assistant | 2100 Georgetowne Drive, Suite 400, Sewickley, PA 15143 | 2017-06-13 |
| 1376098129 | Stephanie Harkins | Chiropractor | 1 Ohio River Blvd, Sewickley, PA 15143 | 2016-08-22 |
| 1710339692 | Kara Lynn Varga | Optometrist | 400 Broad Street Suite 2020, Sewickley, PA 15143 | 2016-07-05 |
| 1265890511 | Stacy Moon | Chiropractor | 2605 Nicholson Road, Building 3, Suite 120, Sewickley, PA 15143 | 2016-02-02 |
| 1003286857 | John Robert Utberg | Obstetrics & Gynecology | 210 Alagua Dr., Sewickley, PA 15143 | 2015-10-05 |
| 1588043434 | Simmons Chiropractic & Wellness | Chiropractor | 2425 Rochester Rd, Sewickley, PA 15143 | 2015-05-26 |
| 1316346042 | Lauri Lang | Dietitian, Registered | 2607 Nicholson Rd., Suite 2100, Building 2, Sewickley, PA 15143 | 2014-08-19 |
| Find all providers in zip 15143 | ||||
| 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 |
|---|---|---|---|---|
| 1851990675 | Elizabethtown Opco LLC | Skilled Nursing Facility | 141 Heisey Avenue, Elizabethtown, PA 17022-8107 | 2020-10-22 |
| 1689273500 | Southwestern Healthcare Operations LLC | Skilled Nursing Facility | 500 Lewis Run Road, Pittsburgh, PA 15122-3056 | 2020-10-21 |
| 1922626290 | Brsi, Lp | Skilled Nursing Facility | 303 Walnut St Fl 7, Harrisburg, PA 17101-1825 | 2020-07-13 |
| 1932727591 | 1425 Horsham Snf Operations LLC | Skilled Nursing Facility | 1425 Horsham Road, North Wales, PA 19454-1320 | 2020-07-10 |
| 1184242182 | Conestoga View Snf Operations LLC | Skilled Nursing Facility | 900 E King Street, Lancaster, PA 17602-3272 | 2020-07-07 |
| 1164040168 | Mountain View Snf Operations LLC | Skilled Nursing Facility | 2050 Trevorton Road, Coal Township, PA 17866-9405 | 2020-07-07 |
| 1508484502 | Timber Ridge Snf Operations LLC | Skilled Nursing Facility | 1555 East End Boulevard, Plains Twp, PA 18702-7927 | 2020-07-07 |
| 1205456704 | Embassy Sharon, LLC | Skilled Nursing Facility | 959 E. State Street, Sharon, PA 16146 | 2020-04-24 |
| 1952940785 | Newport Meadows Health and Rehabilitation Center LLC | Skilled Nursing Facility | 41 Newport Avenue, Christina, PA 17509-1305 | 2019-12-26 |
| 1851954176 | Silvercare Skilled Nursing LLC | Skilled Nursing Facility | 2600 W 9th St Unit A, Chester, PA 19013-2040 | 2019-04-22 |
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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.