PALMYRA TN OPCO LLC (NPI# 1356835607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356835607 |
| Entity Type | Organization |
| Organization Name | PALMYRA TN OPCO LLC |
| Other Organization Name | PALMYRA HEALTH AND REHABILITATION |
| Practice Address |
2727 Palmyra Rd Palmyra TN 37142 |
| Mailing Address |
2071 Flatbush Ave Ste 12 Brooklyn NY 11234-4340 |
| Practice Telephone | 9313265252 |
| Mailing Telephone | 2123901054 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-07-02 |
| Authorized Official Name | ISAAC MOSKOWITZ (CEO) |
| Authorized Official Telephone | 2123901054 |
| 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 |
|---|---|---|---|
| TN | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| Palmyra Health and Rehabilitation | Doing Business As Name - Organization |
| Street Address |
2727 PALMYRA RD |
| City | PALMYRA |
| State | TN |
| Zip Code | 37142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831177252 | Cornerstone Health Care of Palmyra, Inc. | Nursing Facility/Intermediate Care Facility | 2727 Palmyra Rd, Palmyra, TN 37142-2051 | 2006-01-05 |
| 1336767482 | Sarah J Bell | Nurse Practitioner | 2727 Palmyra Rd, Palmyra, TN 37142-2051 | 2020-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023390374 | Christine Nicole Fain | Physical Medicine & Rehabilitation | 4794 Shiloh Canaan Rd, Palmyra, TN 37142-2210 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507955 | Jessie Hubright | Registered Nurse | 4634 S Creek Rd, Palmyra, NY 14522-9728 | 2020-10-29 |
| 1255947503 | Brittany Leigh Sanders | Social Worker | 46 Woodlawn Dr, Palmyra, VA 22963-2732 | 2020-09-22 |
| 1487269759 | Stephanie Elizabeth Petersen | Social Worker | 153 Salzburg Vlg, Palmyra, NY 14522-1343 | 2020-09-13 |
| 1730794256 | Lucy Hill Services | Case Manager/Care Coordinator | 3 Drew Ct, Palmyra, VA 22963-2700 | 2020-09-11 |
| 1255946166 | Rachael Omdoll | Dietitian, Registered | 700 Airview Dr, Palmyra, WI 53156-9204 | 2020-09-09 |
| 1720699457 | Rebecca Lee Riddle-whitlow | Social Worker | 13623 James Madison Hwy, Palmyra, VA 22963-4300 | 2020-08-14 |
| 1487265401 | Erin Chapman Dpt | Clinic/Center | 10 Seminole Trl, Palmyra, VA 22963-3157 | 2020-08-13 |
| 1255942017 | Mary Kendt | Registered Nurse | 250 Johnson St Apt 5d, Palmyra, NY 14522-1452 | 2020-08-13 |
| 1366053605 | Byam Counseling LLC | Counselor | 86 Joshua Ln, Palmyra, VA 22963-6208 | 2020-08-11 |
| 1023628922 | Wendy Childs | Dietitian, Registered | 724 Parry Ave, 1st Floor, Palmyra, NJ 08065 | 2020-08-05 |
| Find all providers in PALMYRA | ||||
| 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 |
|---|---|---|---|---|
| 1760670368 | Margaret Marie Sparks | Skilled Nursing Facility | 104 N East St, Palmyra, MO 63461-1741 | 2007-10-09 |
| 1407913932 | Marion Co. Nursing Home District | Skilled Nursing Facility | 1410 W Line St, Palmyra, MO 63461-0232 | 2007-01-03 |
| 1811985971 | Lancaster Leasing Partnership | Skilled Nursing Facility | 2880 Horseshoe Pike, Palmyra, PA 17078-9039 | 2005-10-12 |
| 1487642658 | Lancaster Leasing Partnership | Skilled Nursing Facility | 341 N Railroad St, Palmyra, PA 17078-1328 | 2005-10-11 |
| 1326046699 | Lebanon Valley Brethren Home | Skilled Nursing Facility | 1200 Grubb Rd, Palmyra, PA 17078-3514 | 2005-07-12 |
| 1407348188 | Campbelltown Rehabilitation & Nursing, LLC | Skilled Nursing Facility | 2880 Horseshoe Pike, Palmyra, PA 17078-9039 | 2018-05-30 |
| 1538651229 | Palmyra Rehabilitation & Nursing, LLC | Skilled Nursing Facility | 341 N Railroad St, Palmyra, PA 17078-1328 | 2018-05-30 |
| 1851752430 | Maybrook-p Palmyra Opco, LLC | Skilled Nursing Facility | 341 N Railroad St, Palmyra, PA 17078-1328 | 2016-03-10 |
| 1558722140 | Maybrook-p Twin Oaks Opco, LLC | Skilled Nursing Facility | 2880 Horseshoe Pike, Palmyra, PA 17078-9039 | 2016-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093343535 | Marie Carmelle Noel | Skilled Nursing Facility | 800 Sadie Ann Ct, Smyrna, TN 37167-3445 | 2020-03-30 |
| 1396308508 | Decatur Operating Group LLC | Skilled Nursing Facility | 332 River Rd, Decatur, TN 37322-7800 | 2019-04-15 |
| 1760940613 | Marble City Medical LLC | Skilled Nursing Facility | 7500 Dodson Rd, Knoxville, TN 37920-9734 | 2019-03-11 |
| 1083132641 | Decatur Healthcare, LLC | Skilled Nursing Facility | 322 River Road, Decatur, TN 38322 | 2017-09-05 |
| 1285155705 | Stones River Manor, Inc. | Skilled Nursing Facility | 205 Haynes Dr, Murfreesboro, TN 37129-5101 | 2017-07-06 |
| 1821538562 | Red Bank Operations, LLC | Skilled Nursing Facility | 1020 Runyan Drive, Chattanooga, TN 37405 | 2017-02-28 |
| 1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
| 1639625254 | Emerald Spring Hill, Inc. | Skilled Nursing Facility | 2000 Reserve Boulevard, Spring Hill, TN 37174-2370 | 2016-09-01 |
| 1245786482 | Nhc-maury Regional Transitional Care Center LLC | Skilled Nursing Facility | 5010 Trotwood Ave, Columbia, TN 38401-4903 | 2016-08-28 |
| 1457805186 | Barton Blazer Smith | Skilled Nursing Facility | 210 Busbee Rd, Knoxville, TN 37920-5104 | 2016-08-11 |
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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.