PROFESSIONAL SERVICE GROUP LLC (NPI# 1114018645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114018645 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL SERVICE GROUP LLC |
| Practice Address |
9 E Loockerman St Ste 3a Dover DE 19901-7316 |
| Practice Telephone | 9016504615 |
| Practice Fax Number | 8662075929 |
| Mailing Telephone | 9016504615 |
| Mailing Fax Number | 8662075929 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL MCCANN (CEO) |
| Authorized Official Telephone | 9016504615 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Professional Service Group LLC | 6470 S Dayton St, Unit K4, Englewood, CO 80111 |
| North Carolina Corporations | Professional Service Group LLC | 631 South Elm Street Suite B, Greensboro, NC 27406 |
| Street Address |
9 E LOOCKERMAN ST STE 3A |
| City | DOVER |
| State | DE |
| Zip Code | 19901-7316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274488 | Aba Services, LLC | Behavioral Analyst | 8 The Green, Ste R, Dover, DE 19901 | 2020-01-17 |
| 1699332171 | Robin Lynn Maracle | Clinical Nurse Specialist | 640 S. State St., Mail Code 1403, Dover, DE 19901 | 2019-05-21 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1831610534 | Vaman Kanu Patel | Physical Therapist | 16 Coventry Ct, Dover, DE 19901 | 2017-07-03 |
| 1033656798 | American Medical LLC | Durable Medical Equipment & Medical Supplies | 9 E. Lockerman Street, #202, Dover, DE 19901 | 2017-01-19 |
| 1245575067 | Keena Segre | Pharmacist | 601 South State Street, Dover, DE 19901 | 2012-12-05 |
| 1376845818 | Michael Angelo Vernale IIi | Psychologist | 260 Chad Street, Dover Afb, Dover, DE 19901 | 2010-12-02 |
| 1396046215 | Richard Scott Shipley | Hearing Instrument Specialist | 1000 Dover Mall,miracle Ear/sears/, Route 13 North Dupont Hwy., Dover, DE 19901 | 2010-11-09 |
| 1780999599 | Suzanne Irene Ford | Speech-Language Pathologist | 1695 S. State Street Suite 5-a, Dover, DE 19901 | 2010-08-17 |
| 1780816231 | Karen A West | Nutritionist | 540 S State St, Dover, DE 19901 | 2009-08-18 |
| Find all providers in zip 19901 | ||||
| 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 |
|---|---|---|---|---|
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1083796734 | Courtland Manor Inc. | Skilled Nursing Facility | 889 S Little Creek Rd, Dover, DE 19901-4721 | 2006-10-20 |
| 1821178427 | Country Club Center Homes, Inc | Skilled Nursing Facility | 860 E Iron Ave, Dover, OH 44622-2031 | 2006-10-17 |
| 1467497834 | Dover Health Care Associates Inc | Skilled Nursing Facility | 1080 Silver Lake Blvd, Dover, DE 19904-2410 | 2006-06-18 |
| 1548258676 | Diversicare Leasing Corp. | Skilled Nursing Facility | 537 Spring St, Dover, TN 37058-3232 | 2005-10-12 |
| 1033106968 | Saint Clare's Hospital Inc. | Skilled Nursing Facility | 400 W Blackwell St, Dover, NJ 07801-2525 | 2005-10-05 |
| 1750375473 | Park Village Health Care Center Inc | Skilled Nursing Facility | 1525 N Crater Ave, Dover, OH 44622-9558 | 2005-09-08 |
| 1306830625 | Presbyterian Homes Inc. | Skilled Nursing Facility | 1175 Mckee Rd, Dover, DE 19904-2268 | 2005-09-01 |
| 1841294832 | New Dawn Health Care Inc | Skilled Nursing Facility | 865 E Iron Ave, Dover, OH 44622-2099 | 2005-06-08 |
| 1932755626 | New Dawn Nursing | Skilled Nursing Facility | 865 E Iron Ave, Dover, OH 44622-2099 | 2019-08-18 |
| Find all providers in DOVER | ||||
Please comment or provide details below to improve the information on PROFESSIONAL SERVICE GROUP LLC.
| 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.