CT OHIO JAMESTOWN LLC (NPI# 1962999516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962999516 |
| Entity Type | Organization |
| Organization Name | CT OHIO JAMESTOWN LLC |
| Other Organization Name | JAMESTOWN PLACE HEALTH AND REHAB |
| Practice Address |
4960 Old Us 35 Jamestown OH 45335 |
| Mailing Address |
10 Glenlake Pkwy Ste 140 Atlanta GA 30328-7246 |
| Practice Telephone | 9376753311 |
| Practice Fax Number | 9376752333 |
| Mailing Telephone | 7704565822 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |
| Authorized Official Name | DAVID RUBENSTEIN (PRESIDENT & CEO) |
| Authorized Official Telephone | 7704565822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 141351 | 05 |
| Other Name | Type Code |
|---|---|
| Jamestown Place Health and Rehab | Doing Business As Name - Organization |
| Street Address |
4960 OLD US 35 |
| City | JAMESTOWN |
| State | OH |
| Zip Code | 45335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073027264 | Rhoda Joy Chamberlain | Nurse Practitioner | 4940 Cottonville Rd Ste 100, Jamestown, OH 45335 | 2017-11-27 |
| 1790117141 | Angelia M Mickle | Nurse Practitioner | 4940 Cottonville Rd, Ste 100, Jamestown, OH 45335 | 2013-08-07 |
| 1699080184 | Joyce Elaine-blackmer Hull | Registered Nurse | 3879 Shawnee Trl, Jamestown, OH 45335-1156 | 2010-08-10 |
| 1801267836 | Karen Reichley | Speech-Language Pathologist | 3995 Navajo Trl, Jamestown, OH 45335-1325 | 2015-10-16 |
| 1336626225 | Danielle Brooks | Dietitian, Registered | 4389 Choctaw Trl, Jamestown, OH 45335-1401 | 2018-07-24 |
| 1285779306 | Supertown Drugs | Pharmacy | 6 N Limestone St, Jamestown, OH 45335-1504 | 2007-02-20 |
| 1114342185 | Angelique Renee Swank | Licensed Practical Nurse | 4646 Cottonville Rd, Jamestown, OH 45335-1516 | 2014-02-26 |
| 1326066713 | Denise R Kennedy | Family Medicine | 4790 Cottonville Rd, Jamestown, OH 45335-1518 | 2006-07-17 |
| 1386281574 | Greene Memorial Hospital, Inc. | Clinic/Center | 4790 Cottonville Rd, Jamestown, OH 45335-1518 | 2019-12-06 |
| 1518524065 | Angela Renee' Paugh | Nurse Practitioner | 4790 Cottonville Rd, Jamestown, OH 45335-1518 | 2019-05-21 |
| Find all providers in zip 45335 | ||||
| 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 |
|---|---|---|---|---|
| 1215256078 | Eventide Jamestown LLC | Skilled Nursing Facility | 1300 2nd Pl Ne, Jamestown, ND 58401-3709 | 2010-05-19 |
| 1669613071 | Greatest Generation, Inc. | Skilled Nursing Facility | 2005 Shannon Gray Ct, Jamestown, NC 27282-9183 | 2009-03-13 |
| 1174713598 | Lp Jamestown LLC | Skilled Nursing Facility | 208 N Duncan St, Jamestown, TN 38556-3101 | 2007-08-01 |
| 1366552739 | Adams Farm Living Inc | Skilled Nursing Facility | 5100 Mackay Rd, Jamestown, NC 27282-9761 | 2006-08-30 |
| 1235116286 | Lutheran Social Services of Upstate New York, Inc. | Skilled Nursing Facility | 715 Falconer St, Jamestown, NY 14701-1935 | 2005-12-29 |
| 1689675548 | Fair Oaks Health Systems, LLC | Skilled Nursing Facility | 1 Sparks Ave, Jamestown, KY 42629-2418 | 2005-08-02 |
| 1821099870 | Health & Care Management, Ltd | Skilled Nursing Facility | 1300 2nd Place Ne, Jamestown, ND 58401-3709 | 2005-08-02 |
| 1366448706 | Gerry Homes Inc | Skilled Nursing Facility | 150 Prather Ave, Jamestown, NY 14701-6710 | 2005-06-21 |
| 1295738193 | Sisters of Mary of The Presentation Long Term Care | Skilled Nursing Facility | 501 19th St Ne, Jamestown, ND 58401-2541 | 2005-05-24 |
| 1144605924 | Pristine Senior Living of Jamestown LLC | Skilled Nursing Facility | 4960 Old Us Route 35 E, Jamestown, OH 45335-1712 | 2015-07-22 |
| Find all providers in JAMESTOWN | ||||
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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.