GREEN RIDGE HEALTH CARE CENTER, LLC (NPI# 1386701118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386701118 |
| Entity Type | Organization |
| Organization Name | GREEN RIDGE HEALTH CARE CENTER, LLC |
| Practice Address |
2741 Boulevard Ave Scranton PA 18509-1000 |
| Practice Telephone | 5703446121 |
| Mailing Telephone | 5703446121 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ELLEN CRAVEN (ADMINISTRATOR) |
| Authorized Official Telephone | 5703446121 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 332302 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1008394040001 | 05 |
| Street Address |
2741 BOULEVARD AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18509-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104234558 | Lynn Scotti | Occupational Therapist | 2741 Boulevard Ave, Scranton, PA 18509-1000 | 2014-07-30 |
| 1750799102 | Linda Dymond | Occupational Therapist | 2741 Boulevard Ave, Scranton, PA 18509-1000 | 2014-07-30 |
| 1609284298 | Jonathan Sarnoski | Physical Therapy Assistant | 2741 Boulevard Ave, Scranton, PA 18509-1000 | 2014-07-27 |
| 1477961191 | Sara Moore | Occupational Therapist | 2741 Boulevard Ave, Scranton, PA 18509-1000 | 2014-07-25 |
| 1134537939 | David J Slachtish | Physical Therapy Assistant | 2741 Boulevard Ave, Scranton, PA 18509-1000 | 2014-07-25 |
| 1629486451 | Roxanne Gallagher | Physical Therapy Assistant | 2741 Boulevard Ave, Scranton, PA 18509-1000 | 2014-07-24 |
| 1679981567 | Jessica Petrilak | Occupational Therapy Assistant | 2741 Boulevard Ave, Scranton, PA 18509-1000 | 2014-07-24 |
| 1487062378 | Jean Marie Lown | Physical Therapist | 2741 Boulevard Ave, Scranton, PA 18509-1000 | 2014-07-24 |
| 1528314945 | Kathleen M. Durkin | Physical Therapist | 2741 Boulevard Ave, Scranton, PA 18509-1000 | 2012-08-03 |
| 1194015784 | Green Ridge Healthcare Group, LLC | Skilled Nursing Facility | 2741 Boulevard Ave, Scranton, PA 18509-1000 | 2011-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700345279 | Michael Joseph Aronica | Physical Medicine & Rehabilitation | 1609 Jefferson Ave, Dunmore, PA 18509 | 2019-03-14 |
| 1467942888 | Mikayla Dynel Attwood | Specialist/Technologist | 2300 Adam's Ave, Scranton, PA 18509 | 2018-05-10 |
| 1497294417 | Brandt Chiropractic and Wellness, Pllc | Chiropractor | 1400 Monroe Ave, Suite 5, Dunmore, PA 18509 | 2017-02-23 |
| 1285088096 | Sara Talarico | Specialist/Technologist | 501 Vine Street, Scranton, PA 18509 | 2016-04-18 |
| 1700256906 | Thadeus Brandt | Chiropractor | 1439 Monroe Ave, Suite 5, Dunmore, PA 18509 | 2015-09-30 |
| 1164762209 | Andrew Joseph Voinski | Dentist | 2326 Boulevard Ave, Scranton, PA 18509 | 2013-02-27 |
| 1386991727 | Paul James Mcdonough Jr. | Counselor | 118 Monahan Avenue, Dunmore, PA 18509 | 2012-08-03 |
| 1639403611 | Primary Care Medical Associates, P.C. | Internal Medicine | 1416 Monroe Avenue, Suite 201, Dunmore, PA 18509 | 2009-09-24 |
| 1316131360 | Marywood University | Emergency Medicine | 2300 Adams Avenue, Oneill Center for Healthy Families, Scranton, PA 18509 | 2007-09-04 |
| 1831214535 | Kurt Paul Moran | Internal Medicine | 10 Greenridge Street, Suite#2, Scranton, PA 18509 | 2007-03-20 |
| Find all providers in zip 18509 | ||||
| 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 |
|---|---|---|---|---|
| 1013074269 | Scranton Health Care Center | Skilled Nursing Facility | 2933 Mccarthy St, Scranton, PA 18505-3017 | 2007-01-03 |
| 1245314699 | Palmetto Lake City Operating LLC | Skilled Nursing Facility | 1940 Boyd Rd, Scranton, SC 29591-5835 | 2006-10-24 |
| 1902857212 | Ggnsc Scranton Lp | Skilled Nursing Facility | 824 Adams Ave, Scranton, PA 18510-1002 | 2006-05-12 |
| 1659352854 | Moses Taylor Hospital | Skilled Nursing Facility | 700 Clay Ave, Scranton, PA 18510-1728 | 2005-11-07 |
| 1790783017 | Home for The Aged of The Little Sisters of The Poor | Skilled Nursing Facility | 2500 Adams Ave, Scranton, PA 18509-1515 | 2005-07-11 |
| 1528061785 | Mountain View Nursing Home, Inc. | Skilled Nursing Facility | 2309 Stafford Ave, Scranton, PA 18505-3686 | 2005-05-23 |
| 1114426137 | Mountain View Care and Rehabilitation Center, LLC | Skilled Nursing Facility | 2309 Stafford Ave, Scranton, PA 18505-3686 | 2018-02-05 |
| 1780129973 | Allied Health Care Services | Skilled Nursing Facility | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2016-12-27 |
| 1548702137 | The Meadows At Scranton for Nursing and Rehabilitation LLC | Skilled Nursing Facility | 824 Adams Ave, Scranton, PA 18540-1002 | 2016-11-14 |
| 1790102622 | Allied Services Institute of Rehabilitation Medicine | Skilled Nursing Facility | 475 Morgan Hwy, Scranton, PA 18508-2605 | 2014-03-28 |
| Find all providers in SCRANTON | ||||
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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.