ST. JOHNLAND NURSING CENTER, INC. (NPI# 1295744761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295744761 |
| Entity Type | Organization |
| Organization Name | ST. JOHNLAND NURSING CENTER, INC. |
| Practice Address |
395 Sunken Meadow Road St. Johnland Nursing Center, Inc Kings Park NY 11780 |
| Mailing Address |
395 Sunken Meadow Road St. Johnland Nursing Center, Inc. Kings Park NY 11780 |
| Practice Telephone | 6312695800 |
| Practice Fax Number | 6312695876 |
| Mailing Telephone | 6312695800 |
| Mailing Fax Number | 6312695876 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARY JEAN WEBER (CEO ADMINSTRATOR) |
| Authorized Official Telephone | 6312695800 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 5157311N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00309393 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609946920 | St. Johnland Nursing Center, Inc. | Home Health | 395 Sunken Meadow Rd, Kings Park, NY 11754-1000 | 2006-11-08 |
| 1336219658 | St. Johnland Nursing Center, Inc. | Internal Medicine | 395 Sunken Meadow Rd, Kings Park, NY 11754-1000 | 2006-11-08 |
| Street Address |
395 SUNKEN MEADOW ROAD ST. JOHNLAND NURSING CENTER, INC |
| City | KINGS PARK |
| State | NY |
| Zip Code | 11780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154492429 | Maureen M. Orsen | Internal Medicine | 395 Sunken Meadow Road, Kings Park, NY 11754 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623956 | Mercy Cryz Kenny | Technician | 12 Three Sisters Rd, St James, NY 11780 | 2019-05-01 |
| 1720503089 | Lindsay Anne Struss | Specialist | 5 Storybook Lane, Saint James, NY 11780 | 2017-08-08 |
| 1194250027 | Dr. Suzanne Greenberg | Chiropractor | 2 Grill Drive, Saint James, NY 11780 | 2017-04-28 |
| 1811363484 | Rely Rx Inc | Durable Medical Equipment & Medical Supplies | 731 B Middle Country Rd, Saint James, NY 11780 | 2015-08-18 |
| 1639563018 | Victoria Grande | Counselor | 348 Lake Ave, Saint James, NY 11780 | 2015-03-24 |
| 1962822502 | Eugene S. Rosati, Md | Internal Medicine | 230 Lincoln Ave, St James, NY 11780 | 2014-04-22 |
| 1346664323 | Judith Ann Pedley | Occupational Therapist | 10 Lancelot Court, Saint James, NY 11780 | 2014-02-11 |
| 1619303336 | Kimberly Ada Flugman | Physical Therapist | 16 Deepwells Lane, St James, NY 11780 | 2013-09-26 |
| 1952606113 | Valley Stream Optometry Pllc | Optometrist | 129 Rockaway Avenue, Valley Stream, NY 11780 | 2011-01-20 |
| 1154586733 | Edward C Brant | Dentist | 447 Lake Avenue, St James, NY 11780 | 2008-07-23 |
| Find all providers in zip 11780 | ||||
| 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 |
|---|---|---|---|---|
| 1962809251 | St. Johnland Nursing Center | Skilled Nursing Facility | 395 Sunken Meadow Rd, Kings Park, NY 11754-1000 | 2014-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730701343 | Diamond Medical Employment Agency Inc | Skilled Nursing Facility | 21873 Hempstead Ave, Queens Village, NY 11429-2103 | 2020-05-18 |
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 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 | KINGS PARK |
| Zip Code | 11780 |
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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.