WELLS NURSING HOME INC. (NPI# 1518010875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518010875 |
| Entity Type | Organization |
| Organization Name | WELLS NURSING HOME INC. |
| Practice Address |
201 W Madison Ave Johnstown NY 12095-2806 |
| Practice Telephone | 5187624546 |
| Practice Fax Number | 5187361507 |
| Mailing Telephone | 5187624546 |
| Mailing Fax Number | 5187361507 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | MICHELE A DYGERT (CFO) |
| Authorized Official Telephone | 5187624546 |
| Is Organization Subpart | Y |
| Parent Organization Name | WELLS NURSING HOME INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1702300N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUESHIELD OF NENY | 000401871001 | 01 |
| NY | 00394849 | 05 | |
| NY | MVP | 43015 | 01 |
| NY | VA | V500P-5020 | 01 |
| NY | EMPIRE BLUECROSS | 007964 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154475093 | Wells Nursing Home Inc. | Clinic/Center | 201 W Madison Ave, Adult Day Health Care, Johnstown, NY 12095-2806 | 2007-01-22 |
| Street Address |
201 W MADISON AVE |
| City | JOHNSTOWN |
| State | NY |
| Zip Code | 12095-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528503489 | Amanda Frost | Physical Therapist | 201 W Madison Ave, Johnstown, NY 12095-2806 | 2017-01-03 |
| 1780066233 | Chanel Ninan | Physical Therapist | 201 W Madison Ave, Physical Therapy Department, Johnstown, NY 12095-2806 | 2015-06-22 |
| 1528478179 | Sandtana Cool | Physical Therapist | 201 W Madison Ave, Johnstown, NY 12095-2806 | 2014-05-05 |
| 1578907739 | Matthew Vanslyke | Physical Therapist | 201 W Madison Ave, Johnstown, NY 12095-2806 | 2013-04-18 |
| 1033439211 | Joel Bernard Huckins | Physical Therapist | 201 W Madison Ave, Physical Therapy Dept., Johnstown, NY 12095-2806 | 2010-06-10 |
| 1669636999 | Alisa Beth Gilbert | Occupational Therapist | 201 W Madison Ave, Johnstown, NY 12095-2806 | 2008-07-16 |
| 1205989175 | William Joseph Betts | Physical Therapist | 201 W Madison Ave, Physical Therapy Dept, Johnstown, NY 12095-2806 | 2007-01-22 |
| 1245384189 | Wells Nursing Home, Inc | Physical Therapist | 201 W Madison Ave, Johnstown, NY 12095-2806 | 2007-01-22 |
| 1154475093 | Wells Nursing Home Inc. | Clinic/Center | 201 W Madison Ave, Adult Day Health Care, Johnstown, NY 12095-2806 | 2007-01-22 |
| 1063565935 | James Miller Price | Physical Therapist | 201 W Madison Ave, Physical Therapy Dept, Johnstown, NY 12095-2806 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245713619 | Kayla Brooks | Registered Nurse | 465 South Perry St., Johnstown, NY 12095 | 2018-09-12 |
| 1134676729 | Billie Jo Loveless | Rehabilitation Unit | 6 East Clinton Street, Apt 1, Johnstown, NY 12095 | 2016-09-01 |
| 1427447499 | Cynthia Ann Lockrow | Counselor | 2-8 West Main Street, Johnstown, NY 12095 | 2015-01-14 |
| 1700282563 | Karie Nasser | Occupational Therapist | 201 W. Madison Avenue, Johnstown, NY 12095 | 2014-11-06 |
| 1063772838 | St. Mary's Healthcare | Internal Medicine | 700 South Perry St, Johnstown, NY 12095 | 2012-05-25 |
| 1801163654 | Maryerin Johneen Agard | Rehabilitation Hospital | Route 67, Hfm Boces, Johnstown, NY 12095 | 2011-11-22 |
| 1497053672 | Erin Kelly Drobnack | Occupational Therapist | 2755 St Rt 67, Johnstown, NY 12095 | 2011-03-11 |
| 1407180649 | Clara Mae Smith | Licensed Practical Nurse | 3462 State Highway 29, Johnstown, NY 12095 | 2009-09-21 |
| 1770730061 | Sarah Elizabeth Liporace | Speech-Language Pathologist | 2714 Ny-29, Johnstown, NY 12095 | 2008-08-19 |
| 1730335761 | Willing Helpers Home for Women Inc. | Assisted Living Facility | 226 West Madison Ave., Johnstown, NY 12095 | 2008-08-11 |
| Find all providers in zip 12095 | ||||
| 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 |
|---|---|---|---|---|
| 1497824064 | Arbutus Park Manor | Skilled Nursing Facility | 207 Ottawa Street, Johnstown, PA 15904-2337 | 2006-11-07 |
| 1740231059 | Ggnsc Johnstown Lp | Skilled Nursing Facility | 349 Vo Tech Dr, Johnstown, PA 15904-2926 | 2006-05-12 |
| 1780668079 | Good Samaritan Medical Center of Johnstown | Skilled Nursing Facility | 1017 Franklin St, Johnstown, PA 15905-4110 | 2005-12-01 |
| 1265423727 | Zandex Health Care Corp | Skilled Nursing Facility | 267 North Main Street, Johnstown, OH 43031 | 2005-11-03 |
| 1588662936 | Laurel Wood Care Center, LLC | Skilled Nursing Facility | 100 Woodmont Rd, Johnstown, PA 15905-1342 | 2005-07-11 |
| 1831192228 | Allegheny Lutheran Social Ministries Inc. | Skilled Nursing Facility | 807 Goucher St, Johnstown, PA 15905-2900 | 2005-05-31 |
| 1194204917 | Villa Crest LLC | Skilled Nursing Facility | 1451 Frankstown Rd, Johnstown, PA 15902-1318 | 2018-08-13 |
| 1093261463 | Guardian Elder Care At Johnstown LLC | Skilled Nursing Facility | 349 Vo Tech Dr, Johnstown, PA 15904-2926 | 2016-08-26 |
| 1699147603 | Westmont Woods, Lp | Skilled Nursing Facility | 787 Goucher St, Johnstown, PA 15905-3028 | 2015-10-29 |
| 1164509261 | Dlp Conemaugh Memorial Medical Center LLC | Skilled Nursing Facility | 320 Main St, Johnstown, PA 15901-1601 | 2006-11-01 |
| Find all providers in JOHNSTOWN | ||||
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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.