BROAD ACRES NURSING HOME ASSOCIATION (NPI# 1528139078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528139078 |
| Entity Type | Organization |
| Organization Name | BROAD ACRES NURSING HOME ASSOCIATION |
| Other Organization Name | BROAD ACRES HEALTH & REHABILITATION CENTER |
| Practice Address |
1883 Shumway Hill Rd Wellsboro PA 16901-6840 |
| Mailing Address |
111 W Michigan St Milwaukee WI 53203-2903 |
| Practice Telephone | 5717243913 |
| Practice Fax Number | 5717245484 |
| Mailing Telephone | 4149088119 |
| Mailing Fax Number | 4149087105 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-09-19 |
| Authorized Official Name | DONNA JO MAASSEN (DIRECTOR OF COMPLIANCE) |
| Authorized Official Telephone | 4149088119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 000747640 | 05 |
| Other Name | Type Code |
|---|---|
| Broad Acres Health & Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
1883 SHUMWAY HILL RD |
| City | WELLSBORO |
| State | PA |
| Zip Code | 16901-6840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241729 | John Frederick Brannaka | Physical Therapy Assistant | 1883 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2020-09-29 |
| 1679185896 | Melissa Wilson | Speech-Language Pathologist | 1883 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2020-08-19 |
| 1417569799 | Courtney Lynn Schauer | Occupational Therapist | 1883 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2020-08-19 |
| 1760045645 | Jane Harris | Speech-Language Pathologist | 1883 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2019-04-17 |
| 1942863733 | Terrell Scott | Occupational Therapy Assistant | 1883 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2019-04-17 |
| 1073176210 | Marissa Rojas | Occupational Therapist | 1883 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2019-04-14 |
| 1215490669 | Casey Loren Carpenter | Physical Therapy Assistant | 1883 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2019-04-12 |
| 1043619364 | Kyle Keppel | Speech-Language Pathologist | 1883 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2014-08-22 |
| 1104244052 | Kaylee Baker | Occupational Therapy Assistant | 1883 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2014-03-28 |
| 1689005662 | Casey Mosher | Occupational Therapist | 1883 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2013-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964940 | Alyssa Lapp | Occupational Therapist | 32 Central Avenue, Wellsboro, PA 16901 | 2019-07-19 |
| 1437701190 | Kari Donnele Root | Occupational Therapist | 36 Central Avenue, Wellsboro, PA 16901 | 2019-07-12 |
| 1205377835 | Brett Long | Physical Therapy Assistant | 37 Central Avenue, Wellsboro, PA 16901 | 2017-03-15 |
| 1487072526 | Mary Caitlin Jones | Physical Therapist | 100 Plaza Ln, Wellsboro, PA 16901 | 2014-04-05 |
| 1144650607 | Amy Chalot | Occupational Therapy Assistant | 1883 Shumway Hill Road, Broad Acres Health and Rehabilitation Center, Wellsboro, PA 16901 | 2013-11-20 |
| 1780844209 | Upmc Wellsboro | Pathology | 32 36 Central Avenue, Pathology, Wellsboro, PA 16901 | 2008-06-10 |
| 1639369606 | Well Adjusted Chiropractic Center PC | Chiropractor | 82 East Avenue, Wellsboro, PA 16901 | 2007-07-26 |
| 1538362991 | John W Eaton | Dentist | 23 Water Street, Wellsboro, PA 16901 | 2007-06-06 |
| 1437210242 | James Michael Stewart | Technician/Technologist | 16 Pearl St, Wellsboro, PA 16901 | 2006-12-13 |
| 1508879560 | Edward Jeffrey Candela | Dentist | 16 Water St, Wellsboro, PA 16901 | 2006-08-14 |
| Find all providers in zip 16901 | ||||
| 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 |
|---|---|---|---|---|
| 1992753495 | Carleton Senior Care and Rehabilitation Center LLC | Skilled Nursing Facility | 10 West Ave, Wellsboro, PA 16901-1325 | 2006-05-05 |
| 1699772327 | The Green Home | Skilled Nursing Facility | 37 Central Ave, Wellsboro, PA 16901-1857 | 2005-07-07 |
| 1083030050 | Genesis Rehabilitation | Skilled Nursing Facility | 37 Central Ave, Wellsboro, PA 16901-1857 | 2014-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990675 | Elizabethtown Opco LLC | Skilled Nursing Facility | 141 Heisey Avenue, Elizabethtown, PA 17022-8107 | 2020-10-22 |
| 1689273500 | Southwestern Healthcare Operations LLC | Skilled Nursing Facility | 500 Lewis Run Road, Pittsburgh, PA 15122-3056 | 2020-10-21 |
| 1922626290 | Brsi, Lp | Skilled Nursing Facility | 303 Walnut St Fl 7, Harrisburg, PA 17101-1825 | 2020-07-13 |
| 1932727591 | 1425 Horsham Snf Operations LLC | Skilled Nursing Facility | 1425 Horsham Road, North Wales, PA 19454-1320 | 2020-07-10 |
| 1184242182 | Conestoga View Snf Operations LLC | Skilled Nursing Facility | 900 E King Street, Lancaster, PA 17602-3272 | 2020-07-07 |
| 1164040168 | Mountain View Snf Operations LLC | Skilled Nursing Facility | 2050 Trevorton Road, Coal Township, PA 17866-9405 | 2020-07-07 |
| 1508484502 | Timber Ridge Snf Operations LLC | Skilled Nursing Facility | 1555 East End Boulevard, Plains Twp, PA 18702-7927 | 2020-07-07 |
| 1205456704 | Embassy Sharon, LLC | Skilled Nursing Facility | 959 E. State Street, Sharon, PA 16146 | 2020-04-24 |
| 1952940785 | Newport Meadows Health and Rehabilitation Center LLC | Skilled Nursing Facility | 41 Newport Avenue, Christina, PA 17509-1305 | 2019-12-26 |
| 1851954176 | Silvercare Skilled Nursing LLC | Skilled Nursing Facility | 2600 W 9th St Unit A, Chester, PA 19013-2040 | 2019-04-22 |
| 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.