LAUREL HEALTH CARE COMPANY OF GALESBURG (NPI# 1114972734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114972734 |
| Entity Type | Organization |
| Organization Name | LAUREL HEALTH CARE COMPANY OF GALESBURG |
| Other Organization Name | THE LAURELS OF GALESBURG |
| Practice Address |
1080 N 35th St Galesburg MI 49053-9727 |
| Mailing Address |
8181 Worthington Rd Westerville OH 43082-8067 |
| Practice Telephone | 6166657043 |
| Practice Fax Number | 6166654080 |
| Mailing Telephone | 6147948800 |
| Mailing Fax Number | 6147948826 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2017-01-03 |
| Authorized Official Name | ANIS KHAN (CFO) |
| Authorized Official Telephone | 6147948800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 394150 | MI | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 394150 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD # | 09796 | 01 |
| MI | NURSING HOME LICENSE # | 394150 | 01 |
| MI | 3319728 | 05 |
| Other Name | Type Code |
|---|---|
| THE LAURELS OF GALESBURG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962592105 | Laurel Health Care Company of Galesburg | Durable Medical Equipment & Medical Supplies | 1080 N 35th St, Galesburg, MI 49053-9727 | 2006-10-16 |
| Street Address |
1080 N 35TH ST |
| City | GALESBURG |
| State | MI |
| Zip Code | 49053-9727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629635966 | Olga Borovic Benardo | Physical Therapist | 1080 N 35th St, Galesburg, MI 49053-9727 | 2019-05-22 |
| 1881257822 | Kamy Beth Zwak | Occupational Therapy Assistant | 1080 N 35th St, Galesburg, MI 49053-9727 | 2019-04-16 |
| 1285197723 | Jamie Lee Farley | Occupational Therapist | 1080 N 35th St, Galesburg, MI 49053-9761 | 2019-04-11 |
| 1609339100 | Aubrey Smith | Physical Therapy Assistant | 1080 N 35th St, Galesburg, MI 49053-9761 | 2019-04-11 |
| 1962592105 | Laurel Health Care Company of Galesburg | Durable Medical Equipment & Medical Supplies | 1080 N 35th St, Galesburg, MI 49053-9727 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497240162 | Ella Philander | Assistant Behavior Analyst | 5370 N 37th St, Galesburg, MI 49053 | 2018-06-26 |
| 1992098404 | Terry Ray Walker | Pharmacist | 9880 E. Michigan Ave, Galesburg, MI 49053 | 2011-05-17 |
| 1144746637 | Richard Alvin Finedell Jr. | Nurse Practitioner | 10310 Miller Dr, Galesburg, MI 49053 | 2017-08-17 |
| 1801900121 | Judy J Mitchelson | Physician Assistant | 10310 Miller Dr, Galesburg, MI 49053 | 2006-08-17 |
| 1306071634 | Amy Kay Embury | Psychologist | 9673 Candytuft, Galesburg, MI 49053-7724 | 2009-05-15 |
| 1134579378 | Nicole Tijerina | Technician, Other | 8396 Doe Ave, Galesburg, MI 49053-7742 | 2016-06-19 |
| 1700038684 | James C Breneman | Allergy & Immunology | 10571 Miller Dr, Galesburg, MI 49053-8607 | 2008-10-22 |
| 1467098202 | Nicole Marie Conway | Nurse Practitioner | 9880 E Michigan Ave # 100, Galesburg, MI 49053-8641 | 2019-11-26 |
| 1790892305 | Leon B Papendick | Physician Assistant | 9880 E Michigan Ave, Suite 100, Galesburg, MI 49053-8641 | 2006-08-23 |
| 1467673525 | The Doctors Group | Family Medicine | 9880 E Michigan Ave, Suite 100, Galesburg, MI 49053-8641 | 2007-05-02 |
| Find all providers in zip 49053 | ||||
| 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 |
|---|---|---|---|---|
| 1659305407 | Unlimited Development, Inc | Skilled Nursing Facility | 2345 Seminary St, Galesburg, IL 61401 | 2006-07-10 |
| 1487624946 | Galesburg Terrace Inc. | Skilled Nursing Facility | 1145 Frank St, Galesburg, IL 61401-2421 | 2006-01-25 |
| 1235126012 | Seminary Manor | Skilled Nursing Facility | 2345 N Seminary St, Galesburg, IL 61401-1202 | 2005-10-05 |
| 1306846258 | Midamerica Care Foundation | Skilled Nursing Facility | 275 E Carl Sandburg Dr, Galesburg, IL 61401-1249 | 2005-07-21 |
| 1285244814 | Allure of Galesburg, LLC | Skilled Nursing Facility | 1145 Frank St, Galesburg, IL 61401-2421 | 2020-08-07 |
| 1134739758 | Allure of Lake Storey, LLC | Skilled Nursing Facility | 1250 W Carl Sandburg Dr, Galesburg, IL 61401-1329 | 2020-08-07 |
| 1386283216 | Marigold Hco LLC | Skilled Nursing Facility | 275 E Carl Sandburg Dr, Galesburg, IL 61401-1249 | 2019-12-23 |
| 1588836258 | Udi 7 | Skilled Nursing Facility | 2345 N Seminary St, Galesburg, IL 61401 | 2008-04-02 |
| 1861670176 | Marigold Hco LLC | Skilled Nursing Facility | 275 E Carl Sandburg Dr, Galesburg, IL 61401-1249 | 2008-02-08 |
| 1487841144 | Bravo Care of Galesburg Inc | Skilled Nursing Facility | 1250 W Carl Sandburg Dr, Galesburg, IL 61401-1329 | 2007-09-26 |
| Find all providers in GALESBURG | ||||
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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.