MARIETTA HEALTHCARE, LLC (NPI# 1184730913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184730913 |
| Entity Type | Organization |
| Organization Name | MARIETTA HEALTHCARE, LLC |
| Other Organization Name | MARIETTA CENTER |
| Practice Address |
117 Bartlett St Marietta OH 45750-2683 |
| Practice Telephone | 7403731867 |
| Mailing Telephone | 7403731867 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2016-05-17 |
| Authorized Official Name | MICHAEL T. BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684752 |
| Is Organization Subpart | Y |
| Parent Organization Name | OHIO HOLDINGS I LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1270N | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2271625 | 05 |
| Other Name | Type Code |
|---|---|
| Marietta Center | Doing Business As Name - Organization |
| Street Address |
117 BARTLETT ST |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-2683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139269 | Fhs Marietta, Inc. | Skilled Nursing Facility | 117 Bartlett St, Marietta, OH 45750-2683 | 2020-03-18 |
| 1477033199 | Pamela S Knapp-shinn | Occupational Therapy Assistant | 117 Bartlett St, Marietta, OH 45750-2683 | 2018-08-21 |
| 1568707032 | Amanda Ladell Land | Occupational Therapy Assistant | 117 Bartlett St, Marietta, OH 45750-2683 | 2012-12-10 |
| 1992040851 | Rachel Ann Konkler | Occupational Therapy Assistant | 117 Bartlett St, Marietta, OH 45750-2683 | 2012-12-04 |
| 1831434943 | Jamie Munjas | Physical Therapy Assistant | 117 Bartlett St, Marietta, OH 45750-2683 | 2012-11-29 |
| 1649515891 | Denee Marie Burton | Occupational Therapist | 117 Bartlett St, Marietta, OH 45750-2683 | 2012-11-29 |
| 1497090609 | Stacy Cline | Physical Therapy Assistant | 117 Bartlett St, Marietta, OH 45750-2683 | 2012-11-29 |
| 1205171493 | Kelly Lee Tullius | Physical Therapy Assistant | 117 Bartlett St, Marietta, OH 45750-2683 | 2012-11-29 |
| 1497090716 | Amanda Schaad | Physical Therapist | 117 Bartlett St, Marietta, OH 45750-2683 | 2012-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| 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 |
|---|---|---|---|---|
| 1053797340 | C.r. of Autumn Breeze, LLC | Skilled Nursing Facility | 1480 Sandtown Rd Sw, Marietta, GA 30008-3821 | 2015-08-10 |
| 1629312079 | Sundance | Skilled Nursing Facility | 145 Cox Farm Rd Nw, Marietta, GA 30064-5059 | 2012-11-23 |
| 1639241284 | Marietta Care, LLC | Skilled Nursing Facility | 400 N 7th St, Marietta, OH 45750-2024 | 2006-11-15 |
| 1295768497 | Hcc Healthcare of Marietta, LLC | Skilled Nursing Facility | 811 Kennesaw Avenue, Marietta, GA 30060 | 2006-07-09 |
| 1164466942 | Heartland of Marietta Oh, LLC | Skilled Nursing Facility | 2501 State Route 60, Marietta, OH 45750-1271 | 2006-06-15 |
| 1619914520 | Manor Care of Marietta Ga LLC | Skilled Nursing Facility | 4360 Johnson Ferry Pl, Marietta, GA 30068-2016 | 2006-05-31 |
| 1053366336 | Mt. Kenn Nursing, LLC | Skilled Nursing Facility | 1480 Sandtown Road, Marietta, GA 30008-3821 | 2006-05-24 |
| 1700838265 | Ggnsc Marietta LLC | Skilled Nursing Facility | 613 Roselane St Nw, Marietta, GA 30060-6940 | 2006-05-16 |
| 1447219696 | Mpi Management, Inc | Skilled Nursing Facility | 2906 Geer Hwy, Marietta, SC 29661-9517 | 2006-03-17 |
| 1558357368 | Marietta Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 50 Saine Dr Sw, Marietta, GA 30008-3824 | 2005-09-27 |
| Find all providers in MARIETTA | ||||
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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.