ST MARYS MANOR (NPI# 1932185634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932185634 |
Entity Type | Organization |
Organization Name | ST MARYS MANOR |
Other Organization Name | ST MARYS MANOR |
Practice Address |
701 Lansdale Ave Lansdale PA 19446-2958 |
Practice Telephone | 2153680900 |
Practice Fax Number | 2153685254 |
Mailing Telephone | 2153680900 |
Mailing Fax Number | 2153685254 |
Enumeration Date | 2005-12-15 |
Last Update Date | 2012-02-14 |
Authorized Official Name | MR. MICHAEL CZEKNER (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 2153680900 |
Is Organization Subpart | Y |
Parent Organization Name | CATHOLIC HEALTH CARE SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 310400000X | Assisted Living Facility | 144490 | PA | Nursing & Custodial Care Facilities |
Y | 314000000X | Skilled Nursing Facility | 451402 | PA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | IBC KEYSTONE | 005684 | 01 |
PA | 0007491620001 | 05 |
Other Name | Type Code |
---|---|
St Marys Manor | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033449624 | St Marys Manor | Nursing Facility/Intermediate Care Facility | 291 North St, Buffalo, NY 14201-1306 | 2010-01-05 |
Street Address |
701 LANSDALE AVE |
City | LANSDALE |
State | PA |
Zip Code | 19446-2958 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295143535 | 701 Lansdale Operating, LLC | Skilled Nursing Facility | 701 Lansdale Ave, Lansdale, PA 19446-2958 | 2014-07-31 |
1841619202 | Djamil Clark Benchouk | Occupational Therapy Assistant | 701 Lansdale Ave, Lansdale, PA 19446-2958 | 2014-04-15 |
1871864702 | Kelly Foley | Occupational Therapist | 701 Lansdale Ave, Lansdale, PA 19446-2958 | 2012-01-24 |
1861763799 | Julia Lynn Hostetter | Occupational Therapist | 701 Lansdale Ave, Lansdale, PA 19446-2958 | 2012-01-24 |
1720213945 | Nancy Lee Colbaugh | Physical Therapist | 701 Lansdale Ave, Lansdale, PA 19446-2958 | 2009-05-18 |
1730313370 | Megan Ferrara | Occupational Therapist | 701 Lansdale Ave, Lansdale, PA 19446-2958 | 2009-05-12 |
1467570010 | Amy Violante | Occupational Therapist | 701 Lansdale Ave, Lansdale, PA 19446-2958 | 2007-03-26 |
1114045507 | Val Raye Allen | Physical Therapist | 701 Lansdale Ave, Rehab. Dept., Lansdale, PA 19446-2958 | 2007-03-26 |
1417075003 | Jennifer Clark Banfield | Physical Therapist | 701 Lansdale Ave, Lansdale, PA 19446-2958 | 2007-03-26 |
1053435396 | Joan Guerin Ross | Physical Therapist | 701 Lansdale Ave, Lansdale, PA 19446-2958 | 2007-03-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225654601 | Nmr Blenheim LLC | In Home Supportive Care | 1001 N Broad Street, Suit A, Room 1&2, Lansdale, PA 19446 | 2020-06-22 |
1063076289 | Lung Health Services PC | Internal Medicine | 1240 South Broad Street, Suite 230, Lansdale, PA 19446 | 2019-04-23 |
1306388806 | Erica B Selheimer | Specialist/Technologist | 133 Canterbury Lane, Lansdale, PA 19446 | 2016-11-15 |
1669862785 | Amanda C Knight | Speech-Language Pathologist | 1161 Forty Foot Road, Lansdale, PA 19446 | 2015-01-27 |
1225433105 | Kelly A Schwartz | Nurse Practitioner | 840 S. Valley Forge Rd, Lansdale, PA 19446 | 2014-11-04 |
1750786430 | Megha Shah | Pharmacist | 1801 North Braod St, Suite 14, Lansdale Pharmacy, Lansdale, PA 19446 | 2014-10-24 |
1184036014 | Natalie Elizabeth Darcy | Dietitian, Registered | 1758 Allentown Road #110, Lansdale, PA 19446 | 2014-05-27 |
1942626940 | Kyung Min | Occupational Therapist | 333 S Line St Apt E4, Lansdale, PA 19446 | 2014-03-14 |
1962839340 | Deval Patel | Nurse Practitioner | 21 S. Valley Forge Rd., Unit 100, Lansdale, PA 19446 | 2013-10-01 |
1205100088 | Arnold Bierman, O.d. P.C. | Optometrist | 2302 Broad St N, Lansdale, PA 19446 | 2012-02-27 |
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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 |
---|---|---|---|---|
1558312959 | Ggnsc Lansdale Lp | Skilled Nursing Facility | 25 W 5th St, Lansdale, PA 19446-2424 | 2006-05-12 |
1285621722 | Gwynedd Square Center for Nursing and Convalescent Care | Skilled Nursing Facility | 773 Sumneytown Pike, Lansdale, PA 19446-5301 | 2005-09-30 |
1942790332 | Harborview Rehabilitation and Care Center At Lansdale LLC | Skilled Nursing Facility | 25 W 5th St, Lansdale, PA 19446 | 2018-05-11 |
1295278927 | Lansdale Care and Rehabilitation Center LLC | Skilled Nursing Facility | 25 W 5th St, Lansdale, PA 19446-2424 | 2016-11-29 |
1215479381 | Gwynedd Healthcare LLC | Skilled Nursing Facility | 773 Sumneytown Pike, Lansdale, PA 19446-5301 | 2016-11-07 |
1295143535 | 701 Lansdale Operating, LLC | Skilled Nursing Facility | 701 Lansdale Ave, Lansdale, PA 19446-2958 | 2014-07-31 |
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.