SALEM HOUSING CORPORATION (NPI# 1962435149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962435149 |
| Entity Type | Organization |
| Organization Name | SALEM HOUSING CORPORATION |
| Other Organization Name | TIMBERLAKE HEALTH AND REHABILITATION |
| Practice Address |
315 W Gibson St Jasper TX 75951-4903 |
| Mailing Address |
5895 Windward Pkwy Suite 200 Alpharetta GA 30005-5203 |
| Practice Telephone | 4093845768 |
| Practice Fax Number | 4093831940 |
| Mailing Telephone | 7706190866 |
| Mailing Fax Number | 7708702892 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2010-05-20 |
| Authorized Official Name | DOUGLAS K. MITTLEIDER (PRESIDENT OF MGMT CO) |
| Authorized Official Telephone | 7706190866 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 116446 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001013913 | 05 |
| Other Name | Type Code |
|---|---|
| Timberlake Health and Rehabilitation | Doing Business As Name - Organization |
| Street Address |
315 W GIBSON ST |
| City | JASPER |
| State | TX |
| Zip Code | 75951-4903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720544786 | West Wharton County Hospital District | Skilled Nursing Facility | 315 W Gibson St, Jasper, TX 75951-4903 | 2019-02-14 |
| 1013472448 | Redd Medical Pllc | Family Medicine | 315 W Gibson St, Jasper, TX 75951-4903 | 2019-02-11 |
| 1508321167 | Carroll R Hale | Physical Therapy Assistant | 315 W Gibson St, Jasper, TX 75951-4903 | 2019-02-07 |
| 1609330083 | Chelsea K Henderson | Occupational Therapy Assistant | 315 W Gibson St, Jasper, TX 75951-4903 | 2019-01-30 |
| 1679955843 | Timberidge Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 315 W Gibson St, Jasper, TX 75951-4903 | 2015-06-24 |
| 1811001423 | Rebecca M Schneider | Family Medicine | 315 W Gibson St, Jasper, TX 75951-4903 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041772 | Hughes Medical Group | Nurse Practitioner | 1501-c S Wheeler, Jasper, TX 75951 | 2019-12-26 |
| 1871023028 | Tamara Nicole Vandiver | Nurse Practitioner | 2427 Hwy 255 West, Brookeland, TX 75951 | 2017-06-19 |
| 1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
| 1275931792 | David Scott Hughes | Counselor | 1501-c South Wheeler St, Jasper, TX 75951 | 2014-12-16 |
| 1881091684 | D.scott Hughes Center for Counseling and Rehab | Clinic/Center | 1501-c South Wheeler, Jasper, TX 75951 | 2014-11-24 |
| 1720497480 | Harvest Counseling | Marriage & Family Therapist | 1501-c South Wheeler Street, Jasper, TX 75951 | 2014-08-07 |
| 1841539269 | Kathleen M Russell | Social Worker | 139 West Lamar Street, Jasper, TX 75951 | 2013-02-05 |
| 1750668034 | Susan Irene Craft | Hearing Instrument Specialist | 530 S. Wheeler, Jasper, TX 75951 | 2011-11-14 |
| 1194012740 | Harbor Hospice of East Texas Lp | Hospice Care, Community Based | 1440 Fm 777, Jasper, TX 75951 | 2011-07-05 |
| 1457661845 | Barbara Patin | Occupational Therapist | 11117 Fm 777, Jasper, TX 75951 | 2010-10-19 |
| Find all providers in zip 75951 | ||||
| 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 |
|---|---|---|---|---|
| 1023440153 | Ridgewood Health Services, Inc. | Skilled Nursing Facility | 201 Oakhill Rd, Jasper, AL 35504-7496 | 2013-07-31 |
| 1962710079 | Sweet Neches Properties, Ltd. | Skilled Nursing Facility | 144 Bulldog Ave, Jasper, TX 75951-4949 | 2010-09-23 |
| 1235205816 | Adams County Memorial Hospital | Skilled Nursing Facility | 520 W 9th Street, Jasper, IN 47546-2711 | 2006-11-27 |
| 1134206030 | Good Samaritan Hospital | Skilled Nursing Facility | 3150 Saint Charles St, Jasper, IN 47546-1858 | 2006-11-01 |
| 1720002819 | Hamilton Health Enterprises, Inc. | Skilled Nursing Facility | 427 Nw 15th Ave, Jasper, FL 32052-5874 | 2006-07-26 |
| 1770530297 | Pruitthealth - Jasper, LLC | Skilled Nursing Facility | 1350 E Church St, Jasper, GA 30143-1910 | 2006-05-29 |
| 1487620498 | Grandview Health Care Center, Inc | Skilled Nursing Facility | 618 Gennett Dr, Jasper, GA 30143-1143 | 2006-02-28 |
| 1265419428 | Brookside Village, Inc | Skilled Nursing Facility | 1111 Church Ave, Jasper, IN 47546-3761 | 2005-12-29 |
| 1699764357 | Heritage House Health and Rehab Center | Skilled Nursing Facility | 2909 Howard Dr, Jasper, IN 47546-1113 | 2005-10-17 |
| 1073500831 | Shadescrest Health Care Center | Skilled Nursing Facility | 331 25th St W, Jasper, AL 35501-5828 | 2005-10-05 |
| Find all providers in JASPER | ||||
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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.