SUMMIT PARK AT FRIEDWALD CARE, LLC (NPI# 1619339363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619339363 |
| Entity Type | Organization |
| Organization Name | SUMMIT PARK AT FRIEDWALD CARE, LLC |
| Other Organization Name | FRIEDWALD ADULT DAY HEALTH CARE AT SUMMIT |
| Practice Address |
50 Sanitorium Rd, Bldg A, 3rd Floor Pomona NY 10970 |
| Mailing Address |
475 New Hempstead Rd New City NY 10956-1000 |
| Practice Telephone | 8452435000 |
| Practice Fax Number | 8452435001 |
| Mailing Telephone | 8456782000 |
| Mailing Fax Number | 8456782100 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | MR. STEVE STAUM (ADMINISTRATOR) |
| Authorized Official Telephone | 8456782000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRIEDWALD CENTER FOR REHABILITATION AND NURSING LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 4350305N | NY | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Friedwald Adult Day Health Care at Summit | Doing Business As Name - Organization |
| Street Address |
50 SANITORIUM RD, BLDG A, 3RD FLOOR |
| City | POMONA |
| State | NY |
| Zip Code | 10970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801429857 | Adina Meira Shapiro | Occupational Therapist | 7 Gessner Terrace, Pomona, NY 10970 | 2020-02-18 |
| 1215351093 | Nicole Lupo | Licensed Practical Nurse | 4 Leadore Lane, Pomona, NY 10970 | 2014-02-13 |
| 1043659519 | Jyotika Agochiya | Obstetrics & Gynecology | 974 Route 45 Suite 1000, Ramapo Valley Obgyn, Pomona, NY 10970 | 2013-06-18 |
| 1366794323 | Shanice John | Counselor | 1 Marcia Ln, Pomona, NY 10970 | 2012-10-15 |
| 1023364817 | Eleanor Chalew Joseph | Registered Nurse | 50 Sanatorium Road Bldg. D, Robert L. Yeager Health Center, Pomona, NY 10970 | 2012-07-30 |
| 1689942153 | Kewanna D Frazier | Occupational Therapy Assistant | 229 Route 202, Apt. 3h, Pomona, NY 10970 | 2011-12-12 |
| 1134419823 | Carlos G. Lobo | Pediatrics | 27 S Camphill Road, Pomona, NY 10970 | 2011-04-14 |
| 1679804884 | Betina Turnier | Registered Nurse | 2 Valley Viw Court, Pomona, NY 10970 | 2010-01-28 |
| 1376792465 | Max F Rast | Surgery | 15 White Birch Drive, Pomona, NY 10970 | 2008-09-12 |
| 1043482466 | Yvonne Bennett | Registered Nurse | 63 Camphill Rd, Pomona, NY 10970 | 2008-03-26 |
| Find all providers in zip 10970 | ||||
| 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. |
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| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1558441022 | Chino Valley Rehabilitation Center LLC | Skilled Nursing Facility | 2351 S Towne Ave, Pomona, CA 91766-6227 | 2006-10-17 |
| 1700972791 | Trinity Oakland, Inc | Skilled Nursing Facility | 651 N Main St, Pomona, CA 91768-3110 | 2006-10-05 |
| 1689769358 | Trinity Oakland, Inc | Skilled Nursing Facility | 215 W Pearl St, Pomona, CA 91768-3114 | 2006-10-04 |
| 1841232279 | Inland Valley Partners LLC | Skilled Nursing Facility | 250 W Artesia St, Pomona, CA 91768-1807 | 2006-06-11 |
| 1639126782 | Sunbridge Braswell Enterprises LLC | Skilled Nursing Facility | 1425 Laurel Ave, Pomona, CA 91768-2837 | 2006-05-27 |
| 1336196484 | Sunbridge Braswell Enterprises LLC | Skilled Nursing Facility | 2335 S Towne Ave, Pomona, CA 91766-6227 | 2006-05-27 |
| 1932180783 | Ember Care Health Care Center | Skilled Nursing Facility | 1550 N Park Ave, Pomona, CA 91768 | 2005-11-09 |
| 1336148840 | Claremont Foothills Health Associates LLC | Skilled Nursing Facility | 219 E Foothill Blvd, Pomona, CA 91767-1403 | 2005-07-18 |
| 1578096442 | Pomona Valley Rehabilitation Center LLC | Skilled Nursing Facility | 250 W Artesia St, Pomona, CA 91768-1807 | 2017-04-07 |
| Find all providers in POMONA | ||||
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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.