COMMUNITY SKILLED NURSING CENTRE (NPI# 1063433225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063433225 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SKILLED NURSING CENTRE |
| Practice Address |
1320 Mahoning Ave Nw Warren OH 44483-2002 |
| Practice Telephone | 3303731160 |
| Practice Fax Number | 3303923649 |
| Mailing Telephone | 3303731160 |
| Mailing Fax Number | 3303923649 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2012-08-23 |
| Authorized Official Name | MR. RAYMOND DECRISTOFARO (CFO) |
| Authorized Official Telephone | 3303731160 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2864 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0391571 | 05 | |
| OH | ANTHEM INSURANCE PRODUCTS | 000000157102 | 01 |
| Street Address |
1320 MAHONING AVE NW |
| City | WARREN |
| State | OH |
| Zip Code | 44483-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215562426 | Julianna Patrick | Speech-Language Pathologist | 1320 Mahoning Ave Nw, Warren, OH 44483-2002 | 2020-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
| 1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
| 1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1205388634 | Laurie L Horvath | Midwife | 1651 E Market, Warren, OH 44483 | 2016-11-02 |
| 1235586264 | Travis Robert Dickey | Physical Therapist | 4329 Mahoning Ave. Nw, Warren, OH 44483 | 2016-05-19 |
| Find all providers in zip 44483 | ||||
| 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 |
|---|---|---|---|---|
| 1467735977 | Van Dyke Partners LLC | Skilled Nursing Facility | 31800 Van Dyke Ave, Warren, MI 48093-7907 | 2011-09-21 |
| 1841442811 | Wagnon Place Health Facilities | Skilled Nursing Facility | 1440 East Church Street, Warren, AR 71671 | 2008-10-21 |
| 1396822771 | Warren Geriatric Village, Inc | Skilled Nursing Facility | 11700 E 10 Mile Rd, Warren, MI 48089-3903 | 2006-11-01 |
| 1598852782 | Thi of Ohio At Imperial, LLC | Skilled Nursing Facility | 4121 Tod Ave Nw, Warren, OH 44485-1258 | 2006-10-07 |
| 1770670952 | Thi of Ohio At Horizon Village, LLC | Skilled Nursing Facility | 2473 North Rd Ne, Warren, OH 44483-3054 | 2006-10-07 |
| 1184722522 | Gillette Nursing Home, Inc. | Skilled Nursing Facility | 3310 Elm Rd Ne, Warren, OH 44483-2614 | 2006-09-20 |
| 1427169564 | Ridgecrest Healthcare Group Inc. | Skilled Nursing Facility | 1926 Ridge Ave Se, Warren, OH 44484-2821 | 2006-08-31 |
| 1477563120 | Omni Manor, Inc. | Skilled Nursing Facility | 200 Glendola Ave Nw, Warren, OH 44483-1247 | 2006-08-08 |
| 1053325951 | Hcf of Warren, Inc. | Skilled Nursing Facility | 682 Pleasant Dr, Warren, PA 16365-3468 | 2006-07-28 |
| 1538102769 | Ssc Warren Operating Company LLC | Skilled Nursing Facility | 11525 East Ten Mile Road, Warren, MI 48089-3802 | 2006-06-14 |
| Find all providers in WARREN | ||||
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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.