MOUNT VERNON NH LLC (NPI# 1962892661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962892661 |
| Entity Type | Organization |
| Organization Name | MOUNT VERNON NH LLC |
| Other Organization Name | MOUNT VERNON HEALTH AND REHABILITATION CENTER |
| Practice Address |
1135 East Gambier Street Mount Vernon OH 43050 |
| Practice Telephone | 7403921099 |
| Mailing Telephone | 7403921099 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-09-21 |
| Authorized Official Name | RONALD J SWARTZ (VICE PRESIDENT AND CFO) |
| Authorized Official Telephone | 8136359500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 2426R | OH | Nursing & Custodial Care Facilities |
| N | 310400000X | Assisted Living Facility | 2253R | OH | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 2630N | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0119249 | 05 |
| Other Name | Type Code |
|---|---|
| Mount Vernon Health and Rehabilitation Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | MOUNT VERNON NH LLC | 4042 Park Oaks Blvd., Suite 300, Tamlpa, FL 33610 |
| Street Address |
1135 EAST GAMBIER STREET |
| City | MOUNT VERNON |
| State | OH |
| Zip Code | 43050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043739972 | Roxanne Renee Berry | Case Manager/Care Coordinator | Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 | 2017-09-12 |
| 1477079309 | Blaine Elizabeth Barr | Case Manager/Care Coordinator | 510 Mitchell Avenue, Mount Vernon, OH 43050 | 2017-08-22 |
| 1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
| 1568998722 | Jami Passwaters | Case Manager/Care Coordinator | 8402 Blackjack Road, Mount Vernon, OH 43050 | 2017-05-10 |
| 1881009017 | Pamela Robinson | Licensed Practical Nurse | 10263 Tucker Road, Mount Vernon, OH 43050 | 2014-06-26 |
| 1356756837 | Charla Sue Johnson | Licensed Practical Nurse | 228 Delano Street, Mt Vernon, OH 43050 | 2014-06-24 |
| 1588076236 | Erica Ferrell | Licensed Practical Nurse | 701 West Burgess Street, Mount Vernon, OH 43050 | 2014-05-29 |
| 1386085637 | Genesis Rehab Services | Assisted Living Facility | 6918 Wigton Road, Mount Vernon, OH 43050 | 2013-07-16 |
| 1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
| 1669767323 | Mirna Monroy-cubie | Occupational Therapy Assistant | 1006 Oak St. Ext., # A, Mount Vernon, OH 43050 | 2011-06-10 |
| Find all providers in zip 43050 | ||||
| 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 |
|---|---|---|---|---|
| 1275056491 | Als Mount Vernon Inc | Skilled Nursing Facility | 1135 Gambier Rd, Mount Vernon, OH 43050-3839 | 2017-07-19 |
| 1679029110 | Tameka Bremmer | Skilled Nursing Facility | 171 W Kingsbridge Rd, 3rd Fl, Mount Vernon, NY 10550-4831 | 2016-08-25 |
| 1982813341 | Missouri Veterans Commission | Skilled Nursing Facility | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2007-05-22 |
| 1689795379 | Ssc Mount Vernon Operating Company LLC | Skilled Nursing Facility | 1001 S 34th St, Mount Vernon, IL 62864-6232 | 2007-04-02 |
| 1437214970 | Mira Vista Corporation | Skilled Nursing Facility | 300 S 18th St, Mount Vernon, WA 98274-4661 | 2006-12-26 |
| 1598831869 | Mount Vernon Elderly Services LLC | Skilled Nursing Facility | 1350 Yauger Rd, Mount Vernon, OH 43050-9233 | 2006-11-28 |
| 1053483818 | Indiana Health and Rehabilitation Centers | Skilled Nursing Facility | 1415 Country Club Rd, Mount Vernon, IN 47620-9301 | 2006-11-15 |
| 1841374238 | Mt Vernon Nursing Home Inc | Skilled Nursing Facility | 501 Yates St, Mount Vernon, TX 75457-3233 | 2006-10-24 |
| 1558301812 | Tandem Health Care of Mt. Vernon, Inc. | Skilled Nursing Facility | 416 Wooster Rd, Mount Vernon, OH 43050-1216 | 2006-06-07 |
| 1861440174 | Westchester Center for Rehabilitation and Nursing | Skilled Nursing Facility | 10 Claremont Ave, Mount Vernon, NY 10550-1609 | 2006-05-05 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 43050 |
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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.