JENNER'S POND INC. (NPI# 1902895550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902895550 |
Entity Type | Organization |
Organization Name | JENNER'S POND INC. |
Practice Address |
2000 Greenbriar Ln West Grove PA 19390-9485 |
Practice Telephone | 6108696770 |
Mailing Telephone | 6108696770 |
Enumeration Date | 2005-10-17 |
Last Update Date | 2012-01-26 |
Authorized Official Name | TONI MCCLAY (PRESIDENT & CEO) |
Authorized Official Telephone | 6108696802 |
Is Organization Subpart | Y |
Parent Organization Name | SIMPSON SENIOR SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
15700201 | PA | Nursing & Custodial Care Facilities |
Y | 310400000X | Assisted Living Facility | 101500 | PA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | AETNA | 3975364 | 01 |
PA | PPO | 7972591 | 01 |
Street Address |
2000 GREENBRIAR LN |
City | WEST GROVE |
State | PA |
Zip Code | 19390-9485 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902442205 | Alyssa Sniechoski | Occupational Therapist | 2000 Greenbriar Ln, West Grove, PA 19390-9485 | 2019-11-21 |
1134789597 | Josie Tate | Nurse Practitioner | 2000 Greenbriar Ln, West Grove, PA 19390 | 2019-06-18 |
1720594385 | Jean Sorzano | Physical Therapy Assistant | 2000 Greenbriar Ln, West Grove, PA 19390-9485 | 2017-12-19 |
1639685209 | Jennifer Warfel | Occupational Therapy Assistant | 2000 Greenbriar Ln, West Grove, PA 19390-9485 | 2017-12-19 |
1104332758 | Chloe Fetrow | Physical Therapy Assistant | 2000 Greenbriar Ln, West Grove, PA 19390-9485 | 2017-12-19 |
1003322629 | Carolyn Mills | Occupational Therapy Assistant | 2000 Greenbriar Ln, West Grove, PA 19390-9485 | 2017-12-19 |
1043720063 | Christopher Michael Lutes | Physical Therapy Assistant | 2000 Greenbriar Ln, West Grove, PA 19390-9485 | 2017-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922660323 | Patrick Michael Kiger | Physical Therapy Assistant | 200 Greenbriar Lane, West Grove, PA 19390 | 2019-07-05 |
1003190620 | Michael N Mount | Physical Therapist | One Commerce Blvd, Suite 103, West Grove, PA 19390 | 2011-09-30 |
1558511899 | Frank Farrell | Occupational Therapist | 8 West Meadow Court, West Grove, PA 19390 | 2008-09-23 |
1265691026 | Alexandra Cortese | Audiologist | 1 Commerce Boulevard, Suite 201, West Grove, PA 19390 | 2008-06-06 |
1548441488 | Arthur B Belson Md | Ophthalmology | 1011 W Balt Pk 203, West Grove, PA 19390 | 2007-11-20 |
1669541553 | Avon Grove Charter School | Local Education Agency (LEA) | 110 E State Road, West Grove, PA 19390 | 2006-11-07 |
1205850831 | Linda Barkasy | Pediatrics | 455 Woodview Road, Suite 220, West Grove, PA 19390 | 2006-07-27 |
1427094531 | John Aaron | Internal Medicine | 900 West Baltimore Pike, Ste 101, West Grove, PA 19390 | 2006-06-20 |
1447238423 | Tim Mudgett-mcgeoch | Physical Therapist | 100 Sycamore Dr, Jenner's Pond Retirement Community, West Grove, PA 19390 | 2006-01-09 |
1407218241 | Marie-claudia Durkin | Internal Medicine | 1015 W Baltimore Pike, West Grove, PA 19390 | 2016-03-22 |
Find all providers in zip 19390 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
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1215549464 | Blair Personal Care Homes, Inc. | Assisted Living Facility | 1031 Mercer Rd, Beaver Falls, PA 15010-6824 | 2020-08-19 |
1164079166 | Snh Penn Tenant LLC | Assisted Living Facility | 950 Morgan Hwy, South Abington Township, PA 18411-8723 | 2019-08-23 |
1740840370 | Al One Pa Investments, LLC | Assisted Living Facility | 200 Sunrise Blvd, Exton, PA 19341-2337 | 2019-06-17 |
1164088456 | Allied Services Personal Care Center | Assisted Living Facility | 260 S Meade St, Wilkes Barre, PA 18702-6221 | 2019-05-13 |
1396215158 | Atl Community Living LLC | Assisted Living Facility | 5231 Locust St, Philadelphia, PA 19139-4020 | 2018-12-04 |
1346718988 | Pleasant Ridge Mature Living | Assisted Living Facility | 981 Pleasant Hill Rd, Leechburg, PA 15656-8390 | 2018-11-12 |
1558855627 | Firely Adult Homes Inc. | Assisted Living Facility | 207 Beechwood Rd, Norristown, PA 19401-1301 | 2018-06-21 |
1710474838 | Sabrina Lynn Scott Sr. | Assisted Living Facility | 114 Smithfield St, Pittsburgh, PA 15222-2248 | 2018-04-13 |
Find all providers with the same taxonomy |
City | WEST GROVE |
Zip Code | 19390 |
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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.