MANCHESTER HEALTH CENTER, INC (NPI# 1336151547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336151547 |
| Entity Type | Organization |
| Organization Name | MANCHESTER HEALTH CENTER, INC |
| Other Organization Name | CRESTFIELD REHABILITATION & FENWOOD MANOR |
| Practice Address |
565 Vernon St Manchester CT 06042-2409 |
| Practice Telephone | 8606435151 |
| Practice Fax Number | 8606433608 |
| Mailing Telephone | 8606435151 |
| Mailing Fax Number | 8606433608 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROLLAND CASTLEMAN (PRESIDENT) |
| Authorized Official Telephone | 8606435151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1014C | CT | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Crestfield Rehabilitation & Fenwood Manor | Doing Business As Name - Organization |
| Street Address |
565 VERNON ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809125 | Jeanne Chatie Percy-rivera | Nurse Practitioner | 565 Vernon St, Manchester, CT 06042 | 2018-11-08 |
| 1578030441 | Manchester Ct Snf LLC | Skilled Nursing Facility | 565 Vernon St, Manchester, CT 06042-2409 | 2018-10-30 |
| 1750783833 | Danielle Viens | Speech-Language Pathologist | 565 Vernon St, Manchester, CT 06042-2409 | 2014-09-21 |
| 1831375427 | Spectrum Healthcare Manchester, LLC | Skilled Nursing Facility | 565 Vernon St, Manchester, CT 06042-2409 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| 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 |
|---|---|---|---|---|
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1538467717 | Health Services Manchester, LLC | Skilled Nursing Facility | 811 Keylon Street, Manchester, TN 37355-2419 | 2011-03-11 |
| 1558594374 | Esther Hottentot | Skilled Nursing Facility | 235 Myrtle Street, Manchester, NH 03104 | 2009-08-27 |
| 1790843100 | Bidwell Care Center LLC | Skilled Nursing Facility | 333 Bidwell St, Manchester, CT 06040-6469 | 2006-12-05 |
| 1568520963 | Westside Care Center LLC | Skilled Nursing Facility | 349 Bidwell Street, Manchester, CT 06040 | 2006-12-05 |
| 1053346668 | Cfn Manchester-center LLC | Skilled Nursing Facility | 198 Pearl St, Manchester, NH 03104-4357 | 2006-07-11 |
| 1114952728 | Cfn Manchester East LLC | Skilled Nursing Facility | 1276 Hanover St, Manchester, NH 03104-5623 | 2006-07-11 |
| 1659301869 | Good Neighbor Society | Skilled Nursing Facility | 105 Mccarren Drive, Manchester, IA 52057-1835 | 2006-07-04 |
| 1114964905 | Kentucky Medical Investors, LLC | Skilled Nursing Facility | 1033 N Highway 11, Manchester, KY 40962-5478 | 2006-06-01 |
| 1396724795 | Saint Joseph Residence | Skilled Nursing Facility | 495 Mammoth Rd, Manchester, NH 03104-5463 | 2006-01-13 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
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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.