WILLOW KNOLL RETIREMENT COMMUNITY (NPI# 1245375591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245375591 |
| Entity Type | Organization |
| Organization Name | WILLOW KNOLL RETIREMENT COMMUNITY |
| Practice Address |
4400 Vannest Ave Middletown OH 45042-2770 |
| Practice Telephone | 5134225600 |
| Practice Fax Number | 5134226532 |
| Mailing Telephone | 5134225600 |
| Mailing Fax Number | 5134226532 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-08-07 |
| Authorized Official Name | MR. DAVID LENKENSDOFER (CFO) |
| Authorized Official Telephone | 7657590230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2533708 | 05 |
| Street Address |
4400 VANNEST AVE |
| City | MIDDLETOWN |
| State | OH |
| Zip Code | 45042-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396391843 | Middletown Post Acute, LLC | Assisted Living Facility | 4400 Vannest Ave, Middletown, OH 45042-2770 | 2019-08-12 |
| 1952813289 | Premier Estates 520, LLC | Assisted Living Facility | 4400 Vannest Ave, Middletown, OH 45042-2770 | 2017-10-26 |
| 1548645419 | Pristine Senior Living of Middletown, LLC | Skilled Nursing Facility | 4400 Vannest Ave, Middletown, OH 45042-2770 | 2015-07-21 |
| 1235360066 | Lynette Muller | Physical Therapy Assistant | 4400 Vannest Ave, Middletown, OH 45042-2770 | 2009-07-28 |
| 1093946931 | Andrea Dawn Schiavone | Physical Therapy Assistant | 4400 Vannest Ave, Middletown, OH 45042-2770 | 2009-07-27 |
| 1578691341 | Liberty Retirement Community of Middletown Inc | Skilled Nursing Facility | 4400 Vannest Ave, Middletown, OH 45042-2770 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413919 | Stacey Ward | Nurse Practitioner | 1055 Summit Dr., Middletown, OH 45042 | 2020-07-06 |
| 1962978759 | Stephani Chandra Miller | Counselor | 160 N. Breiel Blvd, Middletown, OH 45042 | 2018-10-18 |
| 1124504378 | Butler County Community Health Consortium, Inc. | Clinic/Center | 601 N Breiel Blvd Ste B, Middletown, OH 45042 | 2018-07-11 |
| 1417474883 | Tiffany Marie Ott | Registered Nurse | 1229 Ellen Dr, Middletown, OH 45042 | 2017-08-27 |
| 1184074650 | Camelot Realty, LLC | Intermediate Care Facility, Mentally Retarded | 1909 Jackson Lane, Middletown, OH 45042 | 2016-06-15 |
| 1639529100 | Camelot Realty, LLC | Intermediate Care Facility, Mentally Retarded | 4623 Central Avenue, Middletown, OH 45042 | 2016-06-15 |
| 1811347388 | Camelot Raalty, LLC | Intermediate Care Facility, Mentally Retarded | 4923 Hendrickson Rd, Middletown, OH 45042 | 2016-06-15 |
| 1790135234 | Camelot Realty, LLC | Intermediate Care Facility, Mentally Retarded | 4895 Hendrickson Rd., Middletown, OH 45042 | 2016-06-15 |
| 1720438294 | Camelot Realty, LLC | Intermediate Care Facility, Mentally Retarded | 4907 Hendrickson Rd., Middletown, OH 45042 | 2016-06-15 |
| 1174948129 | Sherry L. Flannery | Nurse Practitioner | 4961 Middletown Oxford Road, Middletown, OH 45042 | 2014-02-27 |
| Find all providers in zip 45042 | ||||
| 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 |
|---|---|---|---|---|
| 1881129641 | Shiney Smiley | Skilled Nursing Facility | 320 Price Dr, Middletown, DE 19709-9933 | 2017-04-28 |
| 1578901377 | Genesis Rehabilitation | Skilled Nursing Facility | 205 Mina Dr, Middletown, MD 21769-7828 | 2013-06-13 |
| 1730451501 | Wadsworth Glen, Inc | Skilled Nursing Facility | 30 Boston Rd, Middletown, CT 06457-3543 | 2012-02-08 |
| 1922323385 | Jacquelyn M. Mercey | Skilled Nursing Facility | 4111 Town Brooke, Middletown, CT 06457-6633 | 2010-03-29 |
| 1184714602 | Forest Farm Health Care Center I LLC | Skilled Nursing Facility | 201 Forest Ave, Middletown, RI 02842-4625 | 2006-10-13 |
| 1861509044 | Athena Middlesex LLC | Skilled Nursing Facility | 100 Randolph Rd, Middletown, CT 06457-5637 | 2006-08-24 |
| 1568419372 | Health Resources of Middletown R I Inc | Skilled Nursing Facility | 333 Green End Ave, Middletown, RI 02842-5620 | 2006-05-27 |
| 1578520011 | Diakon Lutheran Social Ministries | Skilled Nursing Facility | 1020 N Union St, Middletown, PA 17057-2158 | 2006-04-27 |
| 1942284112 | Chs - Kensington, Inc | Skilled Nursing Facility | 751 Kensington St, Middletown, OH 45044-6017 | 2005-12-01 |
| 1396736716 | Garden Manor Extended Care Center, Inc. | Skilled Nursing Facility | 6898 Hamilton Middletown Road, Middletown, OH 45044-7859 | 2005-11-03 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 45042 |
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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.