THI OF OHIO AT GOLDEN YEARS LLC (NPI# 1437195450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437195450 |
| Entity Type | Organization |
| Organization Name | THI OF OHIO AT GOLDEN YEARS LLC |
| Other Organization Name | GOLDEN YEARS CONVALESCENT CENTER |
| Practice Address |
2125 Royce St Portsmouth OH 45662-4714 |
| Mailing Address |
930 Ridgebrook Rd Sparks MD 21152-9390 |
| Practice Telephone | 7403546635 |
| Mailing Telephone | 4107731000 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MATTHEW BOX (EVP) |
| Authorized Official Telephone | 4107731000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 6306 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2349113 | 05 |
| Other Name | Type Code |
|---|---|
| Golden Years Convalescent Center | Doing Business As Name - Organization |
| Street Address |
2125 ROYCE ST |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073082913 | Jessica Kielmar | Occupational Therapist | 2125 Royce St, Portsmouth, OH 45662-4714 | 2018-11-21 |
| 1215419973 | John Hancock | Occupational Therapist | 2125 Royce St, Portsmouth, OH 45662-4714 | 2018-08-29 |
| 1912488925 | Noelle Elizabeth Leighty | Physical Therapist | 2125 Royce St, Portsmouth, OH 45662-4714 | 2018-08-27 |
| 1982976734 | Staci Harr | Physical Therapist | 2125 Royce St, Portsmouth, OH 45662-4714 | 2012-02-08 |
| 1003188871 | Debra K Ruby | Occupational Therapist | 2125 Royce St, Portsmouth, OH 45662-4714 | 2012-02-08 |
| 1548491913 | Shelley Ann Hancock | Speech-Language Pathologist | 2125 Royce St, Portsmouth, OH 45662-4714 | 2009-08-04 |
| 1497986889 | Molly Jo Whitman | Physical Therapy Assistant | 2125 Royce St, Portsmouth, OH 45662-4714 | 2009-08-03 |
| 1003047812 | Andy Joe Gillum | Occupational Therapy Assistant | 2125 Royce St, Portsmouth, OH 45662-4714 | 2009-07-29 |
| 1922239664 | Leslie Dawn Miller | Physical Therapist | 2125 Royce St, Portsmouth, OH 45662-4714 | 2009-07-29 |
| 1396976031 | Lisa Rae Evans | Physical Therapy Assistant | 2125 Royce St, Portsmouth, OH 45662-4714 | 2009-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| 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 |
|---|---|---|---|---|
| 1760015119 | Mikaylah Lang | Skilled Nursing Facility | 4505 Georgewashington Hwy, Portsmouth, VA 23702 | 2020-02-13 |
| 1669713897 | Med-systems of Portsmouth LLC | Skilled Nursing Facility | 1319 Spring St, Portsmouth, OH 45662-3715 | 2013-03-13 |
| 1447312046 | Edgewood Manor Inc | Skilled Nursing Facility | 928 South St, Portsmouth, NH 03801-5421 | 2006-12-14 |
| 1275578163 | Heartland of Portsmouth Oh LLC | Skilled Nursing Facility | 20 Easter Dr, Portsmouth, OH 45662-8659 | 2006-06-17 |
| 1881645182 | Ggnsc Portsmouth LLC | Skilled Nursing Facility | 900 London Blvd, Portsmouth, VA 23704-2236 | 2006-05-12 |
| 1710963459 | Autumn Corporation | Skilled Nursing Facility | 3610 Winchester Dr, Portsmouth, VA 23707-4330 | 2005-12-15 |
| 1548251358 | Sentara Life Care Corporation | Skilled Nursing Facility | 4201 Greenwood Dr, Portsmouth, VA 23701-3250 | 2005-11-01 |
| 1972500692 | Kkj Enterprises, Inc | Skilled Nursing Facility | 1319 Spring Street, Portsmouth, OH 45662 | 2005-07-07 |
| 1205397080 | Portside Health & Rehab Center, LLC | Skilled Nursing Facility | 4201 Greenwood Dr, Portsmouth, VA 23701-3250 | 2019-03-26 |
| 1548744287 | Portsmouth Healthcare LLC | Skilled Nursing Facility | 20 Easter Dr, Portsmouth, OH 45662-8659 | 2018-09-19 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
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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.