MANOR CARE OF JERSEY SHORE PA LLC (NPI# 1992750921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992750921 |
| Entity Type | Organization |
| Organization Name | MANOR CARE OF JERSEY SHORE PA LLC |
| Other Organization Name | MANORCARE HEALTH SERVICES - JERSEY SHORE |
| Practice Address |
1008 Thompson St Jersey Shore PA 17740-1729 |
| Mailing Address |
333 N Summit St Toledo OH 43604-2615 |
| Practice Telephone | 5703984747 |
| Practice Fax Number | 5703982245 |
| Mailing Telephone | 4192525500 |
| Mailing Fax Number | 8773859446 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2017-05-08 |
| Authorized Official Name | MR. MARTIN D ALLEN (DIRECTOR) |
| Authorized Official Telephone | 4192525743 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 121302 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1020609310001 | 05 |
| Other Name | Type Code |
|---|---|
| ManorCare Health Services - Jersey Shore | Doing Business As Name - Organization |
| Street Address |
1008 THOMPSON ST |
| City | JERSEY SHORE |
| State | PA |
| Zip Code | 17740-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386897387 | Denise Mae Hershberger | Physical Therapy Assistant | 1008 Thompson St, Jersey Shore, PA 17740-1729 | 2008-11-04 |
| 1912150178 | Elaine Dorney | Physical Therapist | 1008 Thompson St, Jersey Shore, PA 17740-1729 | 2008-10-30 |
| 1285887125 | Crystal Renea Corl | Occupational Therapy Assistant | 1008 Thompson St, Jersey Shore, PA 17740-1729 | 2008-10-23 |
| 1265685101 | Karen Marie Lamper | Occupational Therapy Assistant | 1008 Thompson St, Jersey Shore, PA 17740-1729 | 2008-10-23 |
| 1235382177 | Leita Faye Clark | Occupational Therapy Assistant | 1008 Thompson St, Jersey Shore, PA 17740-1729 | 2008-10-23 |
| 1104079045 | Kimberly Anne Mattox | Occupational Therapist | 1008 Thompson St, Jersey Shore, PA 17740-1729 | 2008-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851680284 | E. Milton Witthoff Jr. | General Practice | 1563 Torbert Ln, Jersey Shore, PA 17740 | 2011-04-06 |
| 1932323326 | Candace B Kanzler | Occupational Therapy Assistant | 1032 Pine Drive, Jersey Shore, PA 17740 | 2007-04-13 |
| 1376687434 | Jacqueline Elaine George | Specialist/Technologist | 701 Cemetery Street, Jersey Shore, PA 17740 | 2007-02-20 |
| 1508917634 | Christopher Todd Witmer | Chiropractor | 1324 Allegheny Street, Jersey Shore, PA 17740 | 2007-01-16 |
| 1174130843 | Amanda Lee Cagle | Pharmacist | 1321 Allegheny St, Jersey Shore, PA 17740 | 2020-09-28 |
| 1598100182 | Anthony T Wang | Anesthesiology | 1020 Thompson St, Jersey Shore, PA 17740 | 2013-05-08 |
| 1912253188 | Trustin A Saam | Internal Medicine | 1020 Thompson St, Jersey Shore, PA 17740 | 2012-07-25 |
| 1821138272 | Thomas Lane Showers | Internal Medicine | 1020 Thompson St, Jersey Shore, PA 17740 | 2007-02-07 |
| 1205945870 | Nathan James Carpenter | Chiropractor | 135 N Main St, Jersey Shore, PA 17740 | 2006-08-29 |
| 1104989359 | John Paul Grove | Dentist | 812 Allegheny Street, Jersey Shore, PA 17740-0508 | 2006-12-19 |
| Find all providers in zip 17740 | ||||
| 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. |
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| 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 |
| Find all providers with the same taxonomy | ||||
| City | JERSEY SHORE |
| Zip Code | 17740 |
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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.