VRABLE IV INC. (NPI# 1114070711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114070711 |
| Entity Type | Organization |
| Organization Name | VRABLE IV INC. |
| Other Organization Name | PEMBROOKE PLACE NURSING AND REHAB CENTER |
| Practice Address |
850 E Midlothian Blvd Youngstown OH 44502-2507 |
| Mailing Address |
3248 Henderson Rd Columbus OH 43220-7337 |
| Practice Telephone | 3307883038 |
| Practice Fax Number | 3307881806 |
| Mailing Telephone | 6145455500 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES P. MERRILL (CFO) |
| Authorized Official Telephone | 6145455500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 4293 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2711033 | 05 |
| Other Name | Type Code |
|---|---|
| Pembrooke Place Nursing and Rehab Center | Doing Business As Name - Organization |
| Street Address |
850 E MIDLOTHIAN BLVD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44502-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982649869 | Carrington South Healthcare Center | Skilled Nursing Facility | 850 E Midlothian Blvd, Youngstown, OH 44502 | 2006-06-17 |
| 1043719107 | Oasis Nursing LLC | Skilled Nursing Facility | 850 E Midlothian Blvd, Youngstown, OH 44502-2507 | 2018-02-05 |
| 1821493057 | Oasis Operating, LLC | Skilled Nursing Facility | 850 E Midlothian Blvd, Youngstown, OH 44502-2507 | 2014-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484189 | Kyle Dalton Flora | Specialist/Technologist | 577 5th Ave Rm 1103, Youngstown, OH 44502 | 2020-07-09 |
| 1700449568 | Lil Indian's Mobile Meals LLC | Meals | 3662 Loveland Rd., Youngstown, OH 44502 | 2019-04-17 |
| 1588155162 | Luke Cantin | Specialist/Technologist | 577 5th Ave, Youngstown, OH 44502 | 2018-05-19 |
| 1104377464 | Jessica Slaughter | Physical Therapist | 299 Edward Street, Youngstown, OH 44502 | 2016-10-20 |
| 1295147585 | Willow Claims Processing, LLC | Case Management | 507 Oak Hill Avenue, 551 New Court, Youngstown, OH 44502 | 2014-05-21 |
| 1821413717 | Amy Woodford | Speech-Language Pathologist | 50 Essex Street, Youngstown, OH 44502 | 2014-02-28 |
| 1710318282 | Ursuline Center | Clinic/Center | 345 Oak Hill Ave Ste 200, Youngstown, OH 44502 | 2013-12-09 |
| 1275891087 | Michael K Lemaster | Counselor | 4949 Urbana Road, Suite 201, Springfield, OH 44502 | 2012-04-30 |
| 1407027378 | Youngstown City Health District | Internal Medicine | 345 Oak Hill Avenue, Youngstown, OH 44502 | 2008-03-18 |
| 1427136431 | Rebecca Ann Nelis | Social Worker | 611 Belmont Avenue, Youngstown, OH 44502 | 2006-11-01 |
| Find all providers in zip 44502 | ||||
| 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 |
|---|---|---|---|---|
| 1720587785 | Canfield Leasing Co., LLC | Skilled Nursing Facility | 2958 Canfield Road, Youngstown, OH 44511 | 2018-02-06 |
| 1275758666 | Danridge Nursing Home Inc | Skilled Nursing Facility | 31 Maranatha Ct, Youngstown, OH 44505-4970 | 2007-04-13 |
| 1093808529 | Shepherd of The Valley Lutheran Retirement Services, Inc. | Skilled Nursing Facility | 7148 West Blvd., Youngstown, OH 44512-4336 | 2006-10-02 |
| 1508967084 | Camelot Arms Care Center, Inc. | Skilled Nursing Facility | 2958 Canfield Rd, Youngstown, OH 44511-2805 | 2006-09-26 |
| 1194826644 | Essex Healthcare Corporation | Skilled Nursing Facility | 650 S Meridian Rd, Youngstown, OH 44509-2932 | 2006-09-26 |
| 1902816739 | Omni Manor, Inc. | Skilled Nursing Facility | 3245 Vestal Rd, Youngstown, OH 44509-1062 | 2006-08-08 |
| 1528078342 | Omni Manor, Inc. | Skilled Nursing Facility | 1735 Belmont Ave, Youngstown, OH 44504-1111 | 2006-08-08 |
| 1720098460 | Liberty Health Care Center, Inc. | Skilled Nursing Facility | 1355 Churchill Hubbard Rd, Youngstown, OH 44505-1346 | 2006-08-08 |
| 1861419814 | Youngstown Area Jewish Federation | Skilled Nursing Facility | 517 Gypsy Ln, Youngstown, OH 44504-1314 | 2006-07-16 |
| 1760419915 | Burgundi Manor Operating Company, LLC | Skilled Nursing Facility | 31 Marantha Drive, Youngstown, OH 44505-4505 | 2006-06-26 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44502 |
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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.