OAK HRC BROAD MOUNTAIN LLC (NPI# 1851781249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851781249 |
| Entity Type | Organization |
| Organization Name | OAK HRC BROAD MOUNTAIN LLC |
| Other Organization Name | BROAD MOUNTAIN HEALTH AND REHABILITATION CENTER |
| Practice Address |
500 W Laurel St Frackville PA 17931-2018 |
| Practice Telephone | 5708740696 |
| Mailing Telephone | 5708740696 |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |
| Authorized Official Name | HOWARD JAFFE (OFFICER) |
| Authorized Official Telephone | 2153466454 |
| Is Organization Subpart | Y |
| Parent Organization Name | OAK HEALTH AND REHABILITATION CENTERS INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Broad Mountain Health and Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
500 W LAUREL ST |
| City | FRACKVILLE |
| State | PA |
| Zip Code | 17931-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356414759 | Northern Health Facilities, Inc. | Skilled Nursing Facility | 500 W Laurel St, Frackville, PA 17931-2018 | 2006-11-16 |
| 1548722911 | Megen Michael | Occupational Therapy Assistant | 500 W Laurel St, Frackville, PA 17931-2018 | 2019-04-03 |
| 1437611845 | Caroline Isgate/kotinsly | Physical Therapy Assistant | 500 W Laurel St, Frackville, PA 17931-2018 | 2019-04-03 |
| 1033619333 | Broad Mountain Health & Rehabilitation Center, LLC | Skilled Nursing Facility | 500 W Laurel St, Frackville, PA 17931-2018 | 2018-02-14 |
| 1366872525 | Melanie Lehocky | Speech-Language Pathologist | 500 W Laurel St, Frackville, PA 17931-2018 | 2013-11-25 |
| 1235569195 | Amy Rizzardi | Physical Therapy Assistant | 500 W Laurel St, Frackville, PA 17931-2018 | 2013-11-13 |
| 1073943056 | Ashley Dinko | Occupational Therapist | 500 W Laurel St, Frackville, PA 17931-2018 | 2013-11-12 |
| 1275962532 | Nicole Covely | Occupational Therapy Assistant | 500 W Laurel St, Frackville, PA 17931-2018 | 2013-11-07 |
| 1750710026 | Lauren Hoffman | Speech-Language Pathologist | 500 W Laurel St, Frackville, PA 17931-2018 | 2013-11-06 |
| 1861683567 | Marie J Reiley | Physical Therapy Assistant | 500 W Laurel St, Frackville, PA 17931-2018 | 2007-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366640195 | Laura Lynn Lawson | Speech-Language Pathologist | 534 W Laurel Street, Frackville, PA 17931 | 2007-07-03 |
| 1457485112 | Jennifer C Renninger | Physician Assistant | 701 W. Oak Street, Frackville, PA 17931 | 2007-03-15 |
| 1790841112 | John Patrick Sadowski | Dentist | 347 Pottsville St Clair Highway, Pottsville, PA 17931 | 2006-12-29 |
| 1295800340 | Richard Thomas Adams Jr. | Chiropractor | 246 S Lehigh Ave, Frackville, PA 17931 | 2006-11-22 |
| 1497769939 | Us Vision Optical Inc | Technician/Technologist | Hwy 61 & I-81, Frackville, PA 17931 | 2006-07-28 |
| 1154365773 | Raymond Edward Hische | Dentist | Route 61 At Interstate 81, Schuylkill Mall Dental, Frackville, PA 17931 | 2006-06-15 |
| 1821054800 | Kathleen Rickard | Podiatrist | 1 North Nice St, Frackville, PA 17931 | 2006-04-26 |
| 1881668473 | Walter W Setlock | Family Medicine | 10 E Spruce St, Frackville, PA 17931 | 2006-02-13 |
| 1396939716 | Adams Healthcare PC | Chiropractor | 246 S Lehigh Ave, Frackville, PA 17931 | 2007-08-29 |
| 1881745933 | Ashley M. Klinger | Physician Assistant | 701 W Oak St, Frackville, PA 17931 | 2007-01-16 |
| Find all providers in zip 17931 | ||||
| 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 |
|---|---|---|---|---|
| 1356414759 | Northern Health Facilities, Inc. | Skilled Nursing Facility | 500 W Laurel St, Frackville, PA 17931-2018 | 2006-11-16 |
| 1033619333 | Broad Mountain Health & Rehabilitation Center, LLC | Skilled Nursing Facility | 500 W Laurel St, Frackville, PA 17931-2018 | 2018-02-14 |
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| Find all providers with the same taxonomy | ||||
| City | FRACKVILLE |
| Zip Code | 17931 |
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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.