PREMIER ESTATES 524, LLC (NPI# 1629580956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629580956 |
| Entity Type | Organization |
| Organization Name | PREMIER ESTATES 524, LLC |
| Practice Address |
1500 Sherman Ave Norwood OH 45212-2510 |
| Mailing Address |
5115 E State Road 64 Bradenton FL 34208-5509 |
| Practice Telephone | 5136316800 |
| Mailing Telephone | 9417584745 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2019-02-01 |
| Authorized Official Name | CASSIDY BANCROFT (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 9417584745 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0250645 | 05 | |
| OH | 0276640 | 05 |
| Street Address |
1500 SHERMAN AVE |
| City | NORWOOD |
| State | OH |
| Zip Code | 45212-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063068518 | Norwood Towers Healthcare, LLC | Assisted Living Facility | 1500 Sherman Ave, Norwood, OH 45212-2510 | 2019-08-12 |
| 1609325471 | Alyssa Marsteller | Occupational Therapy Assistant | 1500 Sherman Ave, Norwood, OH 45212-2510 | 2016-09-22 |
| 1255728135 | Tracey Applebee | Occupational Therapist | 1500 Sherman Ave, Norwood, OH 45212-2510 | 2015-04-18 |
| 1821407438 | Carmen Rosa Kash | Specialist | 1500 Sherman Ave, Norwood, OH 45212-2510 | 2014-08-07 |
| 1336556836 | Ronald Len Roddy | Specialist | 1500 Sherman Ave, Norwood, OH 45212-2510 | 2014-07-16 |
| 1487715025 | Norwood Healthcare Group, Inc. | Skilled Nursing Facility | 1500 Sherman Ave, Norwood, OH 45212-2510 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013568930 | Kelly Diane Weber | Social Worker | Va Behavioral Health and Wellness Center, 4600 Smith Road, Norwood, OH 45212 | 2019-09-23 |
| 1629566039 | Jessica Lee Eckstein | Nurse Practitioner | 4805 Montgomery Rd Ste 154, Cincinnati, OH 45212 | 2018-05-01 |
| 1578092847 | Kerry Ellen Ragland | Counselor | 2300 Wall Street, Cincinnati, OH 45212 | 2017-06-08 |
| 1912256454 | Helen Virginia Blackshire | Occupational Therapy Assistant | 4750 Wesley Avenue Suite J, Cincinnati, OH 45212 | 2012-08-30 |
| 1902154933 | Shelby Davis Lewis | Social Worker | 4750 Wesley Avenue, Suite J, Cincinnati, OH 45212 | 2012-08-23 |
| 1366727133 | Kelly Gray | Pharmacist | 4605 Montgomery Road, Norwood, OH 45212 | 2011-10-12 |
| 1588981351 | Stephen M Zitelli | Family Medicine | 1775 Lexington Ave, Cincinnati, OH 45212 | 2010-05-03 |
| 1699952416 | David William Barr | Marriage & Family Therapist | 4301 Smith Road, Cincinnati, OH 45212 | 2008-01-23 |
| 1780704718 | Douglas A Dix | Dentist | 5451 Montgomery Road, Cincinnati, OH 45212 | 2007-03-31 |
| 1376615104 | Orthopedic Diagnostic & Treatment Ctr Inc | Orthopaedic Surgery | 4600 Smith Road, Suite B, Norwood, OH 45212 | 2006-11-15 |
| Find all providers in zip 45212 | ||||
| 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 |
|---|---|---|---|---|
| 1770973273 | Chris Varney | Skilled Nursing Facility | 75 Westview Dr, Norwood, MA 02062-5123 | 2015-02-04 |
| 1326109141 | 137 Nichols St., Inc. | Skilled Nursing Facility | 137 Nichols St, Norwood, MA 02062-2009 | 2006-12-13 |
| 1952358392 | Charlwell Healthcare LLC | Skilled Nursing Facility | 305 Walpole St, Norwood, MA 02062-3021 | 2006-05-30 |
| 1548212418 | Ggnsc Norwood LLC | Skilled Nursing Facility | 460 Washington St, Norwood, MA 02062-2399 | 2006-05-17 |
| 1700872967 | Ellis Nursing Home, Inc. | Skilled Nursing Facility | 135 Ellis Ave, Norwood, MA 02062-3946 | 2005-09-23 |
| 1629074059 | Buckingham At Norwood Care and Rehabilitation Center LLC | Skilled Nursing Facility | 100 Mcclellen St, Norwood, NJ 07648-1555 | 2005-06-21 |
| 1386290831 | Norwood Highlands Healthcare, LLC | Skilled Nursing Facility | 1578 Sherman Ave, Norwood, OH 45212-2510 | 2019-08-12 |
| 1013572080 | Revolution Charlwell LLC | Skilled Nursing Facility | 305 Walpole St, Norwood, MA 02062-3021 | 2019-05-06 |
| 1457863789 | Premier Estates 525, LLC | Skilled Nursing Facility | 1578 Sherman Ave, Norwood, OH 45212-2510 | 2017-10-26 |
| 1417486713 | 460 Washington Street Operator LLC | Skilled Nursing Facility | 460 Washington St, Norwood, MA 02062-2312 | 2017-06-08 |
| Find all providers in NORWOOD | ||||
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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.