CORTLAND ACRES ASSOCIATION INC. (NPI# 1063511731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063511731 |
| Entity Type | Organization |
| Organization Name | CORTLAND ACRES ASSOCIATION INC. |
| Practice Address |
39 Cortland Acres Ln Thomas WV 26292-8018 |
| Practice Telephone | 3044634181 |
| Practice Fax Number | 3044634190 |
| Mailing Telephone | 3044634181 |
| Mailing Fax Number | 3044634190 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | MRS. BETH A CLEVENGER (ADMINISTRATOR) |
| Authorized Official Telephone | 3044634181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 74 | WV | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0003124000 | 05 | |
| WV | 0158279000 | 05 | |
| WV | MT. STATE BC BS | 001706329 | 01 |
| Street Address |
39 CORTLAND ACRES LN |
| City | THOMAS |
| State | WV |
| Zip Code | 26292-8018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629009204 | Herbert E Myers | Psychiatry & Neurology | 39 Cortland Acres Ln, Thomas, WV 26292-8018 | 2006-07-05 |
| 1952916579 | Nicholas Gregory Thilges | Physical Therapist | 39 Cortland Acres Ln, Thomas, WV 26292-8018 | 2020-09-10 |
| 1750990941 | Tyler Deal | Physical Therapist | 39 Cortland Acres Ln, Thomas, WV 26292-8018 | 2020-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215340773 | Bradley Carroll | Massage Therapist | 122 East Avenue, Thomas, WV 26292-0122 | 2014-06-03 |
| 1598178089 | Jennifer Walker | Acupuncturist | 122 East Avenue, Thomas, WV 26292-0122 | 2014-06-03 |
| 1811548365 | Shirley Simmons | Technician | 295 Pierce-benbush Road, Thomas, WV 26292-0389 | 2019-09-26 |
| 1497367304 | Anna Marie Hibbs | Technician | 110 S Euclid Ave, Thomas, WV 26292-7732 | 2020-08-21 |
| 1962876110 | Preston-taylor Community Health Centers Incorporated | Pharmacy | 30 Cortland Acres Ln, Thomas, WV 26292-8066 | 2015-11-25 |
| 1750401667 | Donald Charles Black | Physical Therapist | Hc 60 Box 98, Thomas, WV 26292-9704 | 2007-04-02 |
| 1821082801 | Edwin Rader | Family Medicine | 30 Cortland Acres Lane, Thomas, WV 26292-9704 | 2005-09-07 |
| 1801342167 | Angela Browning | Nurse Practitioner | 30 Cortland Acres Lane, Thomas, WV 26292-9704 | 2016-08-28 |
| 1225263932 | Cortland Acres Association, Inc. | Clinic/Center | Hc 60 Box 98, Thomas, WV 26292-9704 | 2009-05-26 |
| 1508050329 | Jody Logar | Physical Therapist | Hc 60 Box 98, Thomas, WV 26292-9704 | 2007-09-05 |
| Find all providers in zip 26292 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
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|---|---|---|---|---|
| 1851562136 | Thomas Health and Rehabilitation LLC | Nursing Facility/Intermediate Care Facility | 601 East Frisco Street, Thomas, OK 73669 | 2008-03-14 |
| 1730102617 | Servant Living Center-thomas LLC | Nursing Facility/Intermediate Care Facility | 601 E Frisco, Thomas, OK 73669 | 2006-07-25 |
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| 1467845412 | Wellsburg Center LLC | Nursing Facility/Intermediate Care Facility | 70 Valley Haven Dr, Wellsburg, WV 26070-2625 | 2015-03-16 |
| 1508254319 | Mary Bird | Nursing Facility/Intermediate Care Facility | 590 North Poplar Fork Rd, Hurricane, WV 25526-9434 | 2014-12-31 |
| 1952536377 | Springfield Center LLC | Nursing Facility/Intermediate Care Facility | 10797 Seneca Trl S, Lindside, WV 24951-7345 | 2009-05-29 |
| 1720281975 | Pleasant Valley Nursing and Rehabilitation Center, Inc. | Nursing Facility/Intermediate Care Facility | 640 Sandhill Rd, Pt Pleasant, WV 25550-2163 | 2007-06-06 |
| 1255427415 | Bridgeport Senior Living, LLC | Nursing Facility/Intermediate Care Facility | Rr 4 Box 17, Bridgeport, WV 26330-9509 | 2006-10-05 |
| 1194816025 | Lakin Hospital | Nursing Facility/Intermediate Care Facility | 1 Bateman Cir, Lakin, WV 25287-9784 | 2006-09-27 |
| 1922100031 | Morgantown Healthcare Corp | Nursing Facility/Intermediate Care Facility | 30 Vandervort Dr, Morgantown, WV 26505 | 2006-09-01 |
| Find all providers with the same taxonomy | ||||
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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.