JULIA RIBAUDO SENIOR SERVICES, LLC (NPI# 1336142652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336142652 |
| Entity Type | Organization |
| Organization Name | JULIA RIBAUDO SENIOR SERVICES, LLC |
| Other Organization Name | BRIGHTEN AT JULIA RIBAUDO |
| Practice Address |
1404 Golf Park Dr Lake Ariel PA 18436-4252 |
| Mailing Address |
956 E Railroad Ave Bryn Mawr PA 19010-3831 |
| Practice Telephone | 5706985647 |
| Practice Fax Number | 5706987742 |
| Mailing Telephone | 6105258412 |
| Mailing Fax Number | 6105251371 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL J. CALLAN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6105274277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 101802 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1009802000001 | 05 |
| Other Name | Type Code |
|---|---|
| Brighten at Julia Ribaudo | Doing Business As Name - Organization |
| Street Address |
1404 GOLF PARK DR |
| City | LAKE ARIEL |
| State | PA |
| Zip Code | 18436-4252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134537319 | Joseph Bruckner | Physical Therapy Assistant | 1404 Golf Park Dr, Lake Ariel, PA 18436-4252 | 2014-07-31 |
| 1679981807 | Kerri Mazur | Speech-Language Pathologist | 1404 Golf Park Dr, Lake Ariel, PA 18436-4252 | 2014-07-31 |
| 1245648443 | Rhonda Hicks | Physical Therapy Assistant | 1404 Golf Park Dr, Lake Ariel, PA 18436-4252 | 2014-07-31 |
| 1619385242 | Heather Bergensten | Occupational Therapist | 1404 Golf Park Dr, Lake Ariel, PA 18436-4252 | 2014-07-28 |
| 1013325869 | Susan O'shea | Speech-Language Pathologist | 1404 Golf Park Dr, Lake Ariel, PA 18436-4252 | 2014-07-24 |
| 1154739985 | Tammie Hinton | Occupational Therapy Assistant | 1404 Golf Park Dr, Lake Ariel, PA 18436-4252 | 2014-07-24 |
| 1174931984 | Richard Chowanec | Occupational Therapy Assistant | 1404 Golf Park Dr, Lake Ariel, PA 18436-4252 | 2014-07-24 |
| 1831498567 | Julia Ribaudo Healthcare Group, LLC | Skilled Nursing Facility | 1404 Golf Park Dr, Lake Ariel, PA 18436-4252 | 2011-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467993626 | Kelsey Russo | Specialist/Technologist | 2362 Tanglewood Lane, Lake Ariel, PA 18436 | 2017-03-20 |
| 1548716145 | Little Creek Out Patient Services LLC | Clinic/Center | 518 Easton Turnpike, Lake Ariel, PA 18436 | 2016-09-01 |
| 1720460454 | Erin Mattox | Physical Therapy Assistant | 1089 Mustang Road, Lake Ariel, PA 18436 | 2015-06-18 |
| 1033373485 | Katherine Rosalie Schloesser | Dentist | 554 Hamlin Highway, Lake Ariel, PA 18436 | 2008-07-15 |
| 1962676494 | Marcela Blair | Social Worker | 369 Renwood Court, Lake Ariel, PA 18436 | 2008-04-16 |
| 1407048689 | Micro Diagnostics Imaging Inc | Durable Medical Equipment & Medical Supplies | 473 Easton Turnpike, Suite G, Lake Ariel, PA 18436 | 2007-08-13 |
| 1780667097 | Robert J. Morton | Pediatrics | 62 Industrial Park Road, Lake Ariel, PA 18436 | 2005-11-22 |
| 1265414296 | Theresa A Lafranco | Pediatrics | 62 Industrial Park Rd, Lake Ariel, PA 18436 | 2005-11-16 |
| 1295268365 | Sabrina Noelle Cimerol | Student in an Organized Health Care Education/Training Program | 358 Hamlin Hwy, Suite 2, Lake Ariel, PA 18436 | 2017-04-06 |
| 1356632236 | Brian A. Barland | Pharmacist | 639 Hamlin Hwy, Lake Ariel, PA 18436 | 2011-04-26 |
| Find all providers in zip 18436 | ||||
| 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 |
|---|---|---|---|---|
| 1831498567 | Julia Ribaudo Healthcare Group, LLC | Skilled Nursing Facility | 1404 Golf Park Dr, Lake Ariel, PA 18436-4252 | 2011-03-21 |
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| Find all providers with the same taxonomy | ||||
| City | LAKE ARIEL |
| Zip Code | 18436 |
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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.