WELLSVILLE MANOR LLC (NPI# 1225019029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225019029 |
| Entity Type | Organization |
| Organization Name | WELLSVILLE MANOR LLC |
| Other Organization Name | WELLSVILLE MANOR CARE CENTER |
| Practice Address |
4192a Bolivar Rd Wellsville NY 14895-9325 |
| Practice Telephone | 5855934400 |
| Practice Fax Number | 5855934418 |
| Mailing Telephone | 5855934400 |
| Mailing Fax Number | 5855934418 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2015-09-09 |
| Authorized Official Name | MR. JONATHAN GEWIRTZ (MANAGER, FISCAL OVERSIGHT) |
| Authorized Official Telephone | 9145888379 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00752167 | 05 |
| Other Name | Type Code |
|---|---|
| Wellsville Manor Care Center | Doing Business As Name - Organization |
| Street Address |
4192A BOLIVAR RD |
| City | WELLSVILLE |
| State | NY |
| Zip Code | 14895-9325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557733 | Jennifer Ann Finch | Licensed Practical Nurse | 4192a Bolivar Rd, Wellsville, NY 14895-9325 | 2018-05-02 |
| 1962413955 | Susan Jane Lester | Nurse Practitioner | 4192a Bolivar Rd, Wellsville, NY 14895-9325 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844992 | Sadie R Cole | Registered Nurse | 4220 Route 417 West, Wellsville, NY 14895 | 2020-09-01 |
| 1376102558 | Theresa L. Golish | Home Health Aide | 125 South Broad St., Wellsville, NY 14895 | 2019-06-11 |
| 1104374339 | Christina Scott | Counselor | 4220 Ny 417, Wellsville, NY 14895 | 2016-09-16 |
| 1740626498 | Jami Nichole Gariepy | Occupational Therapist | 95 N Main Street, Wellsville, NY 14895 | 2013-05-21 |
| 1548606999 | Shauna Lynne Mcconnell | Registered Nurse | 94 N. Main Street, Suite 4, Wellsville, NY 14895 | 2013-05-13 |
| 1134497795 | Rose Mary Vossler | Registered Nurse | 50-98 School Street, Wellsville, NY 14895 | 2011-12-09 |
| 1487809083 | Shannon M Mooney | Physician Assistant | 13 Loder St, Wellsville, NY 14895 | 2008-11-24 |
| 1215108253 | Altrasound Services Inc | Radiologic Technologist | 12 Martin St. 2nd Floor, Wellsville, NY 14895 | 2008-03-18 |
| 1083701882 | Kelly Lynn Tincher | Physical Therapist | 191 North Main St., Wellsville, NY 14895 | 2006-10-05 |
| 1295843043 | Joseph Thomas Felsen | Internal Medicine | 243 Maple Ave, Wellsville, NY 14895 | 2006-08-29 |
| Find all providers in zip 14895 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679136626 | Savitri Singh, Md P.C. | Nursing Facility/Intermediate Care Facility | 479 Deer Park Ave, Babylon, NY 11702-1922 | 2019-04-16 |
| 1962964841 | Sapphire Hc, LLC | Nursing Facility/Intermediate Care Facility | 620 Sleepy Hollow Rd, Briarcliff Manor, NY 10510-2516 | 2019-04-01 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1861944167 | Sabine Valme | Nursing Facility/Intermediate Care Facility | 929 E 87th St, Brooklyn, NY 11236-3908 | 2016-11-03 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| 1164885166 | Independent Group Home Living Program Inc | Nursing Facility/Intermediate Care Facility | 908 Melville Estates, Melville, NY 11747 | 2016-03-29 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1417338005 | Hotel Benefit Funds | Nursing Facility/Intermediate Care Facility | 625 Main St Apt 1432, New York, NY 10044-0036 | 2015-06-09 |
| Find all providers with the same taxonomy | ||||
| City | WELLSVILLE |
| Zip Code | 14895 |
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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.