HCF OF EDINBORO, INC. (NPI# 1639183817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639183817 |
| Entity Type | Organization |
| Organization Name | HCF OF EDINBORO, INC. |
| Other Organization Name | EDINBORO MANOR |
| Practice Address |
419 Waterford St Edinboro PA 16412-5517 |
| Practice Telephone | 8147345021 |
| Practice Fax Number | 8147341433 |
| Mailing Telephone | 8147345021 |
| Mailing Fax Number | 8147341433 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2012-10-16 |
| Authorized Official Name | MR. RYAN STECHSCHULTE (DIRECTOR - CORPORATE COMPLIANCE) |
| Authorized Official Telephone | 4199992010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 053002 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | THREE RIVERS/UNISON | 000000099845 | 01 |
| PA | 0019250770001 | 05 | |
| PA | SECURITY BLUE | 0987 | 01 |
| PA | ADVANTRA | 305044 | 01 |
| Other Name | Type Code |
|---|---|
| Edinboro Manor | Doing Business As Name - Organization |
| Street Address |
419 WATERFORD ST |
| City | EDINBORO |
| State | PA |
| Zip Code | 16412-5517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194228346 | Matthew Defrances | Speech-Language Pathologist | 419 Waterford St, Edinboro, PA 16412-5517 | 2018-03-14 |
| 1043759004 | Mimi C Haney | Occupational Therapist | 419 Waterford St, Edinboro, PA 16412-5517 | 2017-02-22 |
| 1154777589 | Ashley Faber Saft | Speech-Language Pathologist | 419 Waterford St, Edinboro, PA 16412-5517 | 2016-05-04 |
| 1295191245 | Olivia Lucas | Occupational Therapy Assistant | 419 Waterford St, Edinboro, PA 16412-5517 | 2016-01-06 |
| 1902262983 | Mitchell Rey Talley | Physical Therapy Assistant | 419 Waterford St, Edinboro, PA 16412-5517 | 2016-01-06 |
| 1588039762 | Maria Terese Smith | Physical Therapist | 419 Waterford St, Edinboro, PA 16412-5517 | 2015-12-14 |
| 1285009118 | Mary Kathleen Vaughn | Speech-Language Pathologist | 419 Waterford St, Edinboro, PA 16412-5517 | 2015-12-03 |
| 1194190025 | Mandy L Gwin | Physical Therapy Assistant | 419 Waterford St, Edinboro, PA 16412-5517 | 2015-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183137 | Ashley B Barnett | Specialist/Technologist | 455 Scotland Road, Edinboro, PA 16412 | 2020-01-09 |
| 1083101901 | Kelly Anne Bruce | Specialist/Technologist | 11700 Edinboro Rd, Edinboro, PA 16412 | 2018-04-16 |
| 1922477389 | Keyara Kelly | Specialist/Technologist | 5550 Crane Road, Edinboro, PA 16412 | 2015-09-16 |
| 1366721425 | Pamer Family Chiropractic & Wellness | Chiropractor | 11700 Edinboro Rd., Edinboro, PA 16412 | 2011-08-08 |
| 1568629335 | Lake Erie Dental Inc | Dentist | 106 Waterford Street, Edinboro, PA 16412 | 2008-05-20 |
| 1902007099 | Margaret Burke Kessler | Counselor | 124 Meadville St Ste 105, Edinboro, PA 16412 | 2007-05-29 |
| 1134255516 | James Turner Bolard | Optometrist | 103 Erie St, Edinboro, PA 16412 | 2007-02-27 |
| 1164917696 | Deveshi Chandan | Dentist | 606 Erie St, Edinboro, PA 16412 | 2018-06-27 |
| 1104291384 | Gina Demarco Smith | Occupational Therapist | 419 Waterford Street, Edinboro, PA 16412 | 2015-12-14 |
| 1194134312 | Summer Renae Payer | Massage Therapist | 201a Waterford St, Edinboro, PA 16412 | 2014-08-13 |
| Find all providers in zip 16412 | ||||
| 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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| 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 |
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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.