ALPINE MANOR, INC. (NPI# 1417162348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417162348 |
| Entity Type | Organization |
| Organization Name | ALPINE MANOR, INC. |
| Other Organization Name | ERIE AT BAYSIDE |
| Practice Address |
4114 Schaper Ave Erie PA 16508-3350 |
| Mailing Address |
1680 Michigan Ave Suite 736 Miami Beach FL 33139-2538 |
| Practice Telephone | 3058921790 |
| Practice Fax Number | 3055382699 |
| Mailing Telephone | 3058921790 |
| Mailing Fax Number | 3055382699 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THEODORE M. DUAY III (CFO) |
| Authorized Official Telephone | 3058921790 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 530402 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 4163612 | 05 |
| Other Name | Type Code |
|---|---|
| Erie at Bayside | Other Name - Individual/Organization |
| Street Address |
4114 SCHAPER AVE |
| City | ERIE |
| State | PA |
| Zip Code | 16508-3350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215392824 | Lecom At Presque Isle Inc | Skilled Nursing Facility | 4114 Schaper Ave, Erie, PA 16508-3350 | 2015-12-24 |
| 1982849113 | Jennifer Lynn Mejia | Occupational Therapist | 4114 Schaper Ave, Erie, PA 16508-3350 | 2008-12-02 |
| 1508022732 | Rachael Anne Arkwright | Licensed Practical Nurse | 4114 Schaper Ave, Erie, PA 16508-3350 | 2008-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417486705 | Robert Vance Danielson IIi | Specialist/Technologist | 3527 Maple St., Erie, PA 16508 | 2017-06-08 |
| 1336670785 | Judith Shaffer | Social Worker | 213 Gridley Ave, Erie, PA 16508 | 2017-03-27 |
| 1407253859 | Dr Natalie Teygart PC | Family Medicine | 939 West 38th St, Erie, PA 16508 | 2014-12-01 |
| 1417371311 | Psychological Health Services | Counselor | 956 West 38th Street, Erie, PA 16508 | 2014-02-12 |
| 1518210699 | Deerfield Behavioral Health, Inc. | Counselor | 2808 State Street, Erie, PA 16508 | 2012-10-26 |
| 1851675243 | Nutrition and Healing Center, Inc. | Chiropractor | 1455 West 38th Street, Suite 2, Erie, PA 16508 | 2011-10-04 |
| 1659659415 | Patricia Luisa Palotas | Counselor | 2170 West 32nd, Affinity Family Services, Inc, Erie, PA 16508 | 2011-07-28 |
| 1841581808 | Melissa M Wilson | Dietitian, Registered | 23 West 41st Street, Erie, PA 16508 | 2011-04-26 |
| 1649599374 | Amber A Kridler | Chiropractor | 1334 W. 26th St, Erie, PA 16508 | 2010-05-20 |
| 1023256427 | Christine Williamson | Occupational Therapist | 10 Summit Street, Erie, PA 16508 | 2009-01-23 |
| Find all providers in zip 16508 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629108741 | Erie Independence House, Inc. | Nursing Facility/Intermediate Care Facility | 3108 Zuck Rd, Erie, PA 16506-3161 | 2007-03-07 |
| 1841476538 | Millcreek Community Hospital | Nursing Facility/Intermediate Care Facility | 5515 Peach St, Erie, PA 16509-2603 | 2008-01-14 |
| 1629125166 | Millcreek Manor | Nursing Facility/Intermediate Care Facility | 5515 Peach St, Erie, PA 16509-2603 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710428834 | Bridget Mccaffrey | Nursing Facility/Intermediate Care Facility | 9320 Tulip St, Philadelphia, PA 19114-4017 | 2017-03-09 |
| 1073915724 | Doula | Nursing Facility/Intermediate Care Facility | 126 Dauntless Dr, Pittsburgh, PA 15235-3031 | 2014-09-24 |
| 1659653285 | Prestige Realty Services,inc. | Nursing Facility/Intermediate Care Facility | 1165 Red Fox Rd, East Stroudsburg, PA 18301-9106 | 2011-09-09 |
| 1922306885 | Genesis Healthcare Corporation | Nursing Facility/Intermediate Care Facility | 1700 Pine Street, Norristown, PA 19401-3040 | 2011-03-02 |
| 1932412582 | Nurse Sharks, Inc. | Nursing Facility/Intermediate Care Facility | 661 Byrnedale Rd, Weedville, PA 15868-1515 | 2010-07-23 |
| 1427200740 | Shelley Ann Redding | Nursing Facility/Intermediate Care Facility | 2029 Wesgate Dr, Bethlehem, PA 18017 | 2008-10-17 |
| 1427200146 | Manor Care Nursing and Rehabilitaion Center | Nursing Facility/Intermediate Care Facility | 130 Dewey St, Etna, PA 15223-1745 | 2008-10-13 |
| 1164670998 | Joyce Ann Malloy | Nursing Facility/Intermediate Care Facility | 23 Craighead St, Pittsburgh, PA 15211-2103 | 2008-09-04 |
| 1588856009 | Friends Home In Kennett/linden Hall | Nursing Facility/Intermediate Care Facility | 147 W State St, Kennett Square, PA 19348-3022 | 2007-08-17 |
| 1689889701 | Integrated Health of Locust Valley Road, Inc. | Nursing Facility/Intermediate Care Facility | 890 Weatherwood Ln, Greensburg, PA 15601-5777 | 2007-05-11 |
| Find all providers with the same taxonomy | ||||
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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.