GUARDIAN ELDER CARE AT BROCKWAY LLC (NPI# 1396946489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396946489 |
Entity Type | Organization |
Organization Name | GUARDIAN ELDER CARE AT BROCKWAY LLC |
Other Organization Name | HIGHLAND VIEW HEALTHCARE AND REHABILITATION CENTER |
Practice Address |
90 Main St Brockway PA 15824-1038 |
Mailing Address |
8796 Route 219 Brockway PA 15824-6010 |
Practice Telephone | 8142658265 |
Enumeration Date | 2007-05-29 |
Last Update Date | 2020-08-25 |
Authorized Official Name | MICHAEL EPERESI (CFO) |
Authorized Official Telephone | 8142651164 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 314000000X | Skilled Nursing Facility | PA | Nursing & Custodial Care Facilities | |
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 101956791-0001 | 05 |
Other Name | Type Code |
---|---|
Highland View Healthcare and Rehabilitation Center | Doing Business As Name - Organization |
Street Address |
90 MAIN ST |
City | BROCKWAY |
State | PA |
Zip Code | 15824-1038 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780041871 | Angela D Snyder | Speech-Language Pathologist | 90 Main St, Brockway, PA 15824-1038 | 2016-01-21 |
1205183597 | Judith T Himes | Physical Therapist | 90 Main St, Brockway, PA 15824-1038 | 2012-08-06 |
1144513995 | Danielle Nicole Rhodes | Speech-Language Pathologist | 90 Main St, Brockway, PA 15824-1038 | 2011-05-25 |
1588983274 | Jessica M Schuckers | Occupational Therapist | 90 Main St, Brockway, PA 15824-1038 | 2010-05-20 |
1710988001 | Wrc Highland View Health Care | Skilled Nursing Facility | 90 Main St, Brockway, PA 15824-1038 | 2005-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215903661 | Wendy Susan Bingler | Occupational Therapist | 8726 Route 219, Guardian Rehabilitation Services, Inc., Brockway, PA 15824 | 2006-02-27 |
1326314725 | Jack Britten | Dentist | 2200 Main St, Brockway, PA 15824 | 2012-03-29 |
1891091740 | Jodi Pierson Neal | Speech-Language Pathologist | 8726 Route 219, Guardian Rehabilitation Services, Inc, Brockway, PA 15824 | 2011-02-09 |
1205906617 | Quinn L Lundberg Jr. | Dentist | 409 Main Street, Brockway, PA 15824 | 2006-11-09 |
1194357103 | Joan Elizabeth Crawford | Counselor | 3487 Kearney Rd, Brockway, PA 15824-1063 | 2020-02-07 |
1376161711 | Sean Sleigh | Dentist | 409 Main St, Brockway, PA 15824-1324 | 2020-07-13 |
1932232683 | Jacient D. Bray | Pharmacist | 411 Main St, Brockway, PA 15824-1324 | 2007-03-13 |
1265463335 | Hometown Drug LLC | Pharmacy | 411 Main St, Brockway, PA 15824-1324 | 2006-07-06 |
1740723733 | Tri-county Nursing, LLC | Registered Nurse | 426 Main St, Brockway, PA 15824-1325 | 2016-11-23 |
1730314832 | Tri-county Nursing LLC | Nursing Care | 426 Main St, Brockway, PA 15824-1325 | 2009-05-19 |
Find all providers in zip 15824 |
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 |
---|---|---|---|---|
1477804029 | Guardian Rehab Services | Skilled Nursing Facility | 8796 Route 219, Brockway, PA 15824-6010 | 2012-09-23 |
1710988001 | Wrc Highland View Health Care | Skilled Nursing Facility | 90 Main St, Brockway, PA 15824-1038 | 2005-08-09 |
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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.