CAMPBELL HALL REHABILITATION CENTER, INC. (NPI# 1174510531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174510531 |
| Entity Type | Organization |
| Organization Name | CAMPBELL HALL REHABILITATION CENTER, INC. |
| Practice Address |
23 Kiernan Rd Campbell Hall NY 10916-2200 |
| Practice Telephone | 8452948154 |
| Practice Fax Number | 8452949651 |
| Mailing Telephone | 8452948154 |
| Mailing Fax Number | 8452949651 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. GERALD J WOOD (OFFICER) |
| Authorized Official Telephone | 5164090700 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 00734294 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00734294 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CAMPBELL HALL REHABILITATION CENTER, INC. | 701 Ne Marine Drive, Campbell Hall, Ny 33431 |
| Street Address |
23 KIERNAN RD |
| City | CAMPBELL HALL |
| State | NY |
| Zip Code | 10916-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013543487 | Farrah Shidid | Counselor | 3136 Ny Route 207, Campbell Hall, NY 10916 | 2020-03-18 |
| 1780087452 | Emily Miller | Occupational Therapy Assistant | 22 Sarah Wells Trail, Bldg. 2, Suite 1, Campbell Hall, NY 10916 | 2014-10-08 |
| 1437229655 | Dawn A Sammarco-gutierrez | Social Worker | 327 Ridge Rd, Campbell, NY 10916 | 2006-11-08 |
| 1194765099 | Barry H Bachenheimer | Social Worker | 90 East Main St, Washingtonville, NY 10916 | 2006-06-08 |
| 1982214789 | Christie-lynn Malitz | Social Worker | 3136 Ny Route 207, Campbell Hall, NY 10916 | 2020-08-06 |
| 1770924201 | Frank Edward Nutt IIi | Speech-Language Pathologist | 35 Twin Oaks Dr., Campbell Hall, NY 10916-2107 | 2013-07-12 |
| 1124485693 | Angela Lugo | Behavioral Analyst | 21 Everett Rd, Campbell Hall, NY 10916-2111 | 2016-01-28 |
| 1598135030 | Giulietta Terranova-fini | Community Health Worker | 12 Bella Vista Ct, Campbell Hall, NY 10916-2123 | 2015-09-27 |
| 1598067365 | Aimee Elizabeth Fini | Occupational Therapist | 20 Bella Vista Ct, Campbell Hall, NY 10916-2123 | 2010-11-29 |
| 1548280704 | Scott R. Chudow | Surgery | 1 Kiernan Rd, Campbell Hall, NY 10916-2200 | 2006-07-20 |
| Find all providers in zip 10916 | ||||
| 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. |
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| 1659936334 | Nelson Tannis | Skilled Nursing Facility | 165 Broadway, New York, NY 10006-1404 | 2019-05-07 |
| 1295390029 | Westgate Operations Associates LLC | Skilled Nursing Facility | 525 Beahan Rd, Rochester, NY 14624-3403 | 2019-05-07 |
| 1952883423 | Roscoe Regional Healthcare LLC | Skilled Nursing Facility | 420 Rockland Rd, Roscoe, NY 12776-6450 | 2018-08-31 |
| 1164904769 | Renaissance Healthcare Group, LLC | Skilled Nursing Facility | 4975 Albany Post Rd, Staatsburg, NY 12580-6032 | 2018-08-30 |
| 1477049807 | Itkin Occupational Therapy PC | Skilled Nursing Facility | 134 Mackenzie Street, Brooklyn, NY 11235 | 2018-07-09 |
| 1699280826 | 239 Legris Avenue Operations LLC | Skilled Nursing Facility | 3118 Quentin Rd, Brooklyn, NY 11234-4235 | 2017-12-11 |
| 1376058578 | Yonkers Gardens, LLC | Skilled Nursing Facility | 115 S Broadway, Yonkers, NY 10701-4006 | 2017-12-10 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
| City | CAMPBELL HALL |
| Zip Code | 10916 |
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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.