ALICE R. SULLIVAN (NPI# 1659582377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659582377 |
| Entity Type | Individual |
| Full Name | ALICE R. SULLIVAN |
| Credential | PTA |
| Practice Address |
121 Dunning Rd Middletown NY 10940-2243 |
| Mailing Address |
68 Hunt Dr Florida NY 10921-3015 |
| Practice Telephone | 8453430801 |
| Mailing Telephone | 8456517396 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 004610-1 | NY | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740443118 | Alice Prescott Sullivan | Family Medicine | 9500 Euclid Avenue, Q2, Center for Functional Medicine, Cleveland, OH 44195 | 2008-07-07 |
| Street Address |
121 DUNNING RD |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629064282 | Middletown Park Manor | Skilled Nursing Facility | 121 Dunning Rd, Middletown, NY 10940-2243 | 2005-09-20 |
| 1083234157 | Kerry Mckeever | Speech-Language Pathologist | 121 Dunning Rd, Middletown, NY 10940-2243 | 2020-04-19 |
| 1871961946 | Samantha Butler | Occupational Therapy Assistant | 121 Dunning Rd, Middletown, NY 10940-2243 | 2015-09-08 |
| 1205166816 | Park Manor Acquisition II LLC | Skilled Nursing Facility | 121 Dunning Rd, Middletown, NY 10940-2243 | 2010-01-04 |
| 1275744419 | Anne Marie Robinson Glasscock | Occupational Therapist | 121 Dunning Rd, Middletown, NY 10940-2243 | 2007-05-26 |
| 1295946150 | Danielle M Schork | Physical Therapy Assistant | 121 Dunning Rd, Middletown, NY 10940-2243 | 2007-05-24 |
| 1124239074 | Elaine Moore | Occupational Therapist | 121 Dunning Rd, Middletown, NY 10940-2243 | 2007-05-24 |
| 1679784516 | Terri Maurizzio | Physical Therapy Assistant | 121 Dunning Rd, Middletown, NY 10940-2243 | 2007-05-24 |
| 1083823215 | Andrea Bracciante Ely | Speech-Language Pathologist | 121 Dunning Rd, Middletown, NY 10940-2243 | 2007-05-22 |
| 1063625895 | Peter Wilson Luciano Jr. | Physical Therapy Assistant | 121 Dunning Rd, Middletown, NY 10940-2243 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437539483 | Arlington Pointe Investment Group, LLC | Nursing Facility/Intermediate Care Facility | 4900 Hendrickson Road, Middletown, OH 45044 | 2015-06-04 |
| 1386604171 | Broadmeadow Investment LLC | Nursing Facility/Intermediate Care Facility | 500 South Broad Street, Middletown, DE 19709 | 2006-03-24 |
| 1619392255 | Moore Healthcare Enterprises Inc | Nursing Facility/Intermediate Care Facility | 131 S 10th St, Middletown, IN 47356 | 2014-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679136626 | Savitri Singh, Md P.C. | Nursing Facility/Intermediate Care Facility | 479 Deer Park Ave, Babylon, NY 11702-1922 | 2019-04-16 |
| 1962964841 | Sapphire Hc, LLC | Nursing Facility/Intermediate Care Facility | 620 Sleepy Hollow Rd, Briarcliff Manor, NY 10510-2516 | 2019-04-01 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1861944167 | Sabine Valme | Nursing Facility/Intermediate Care Facility | 929 E 87th St, Brooklyn, NY 11236-3908 | 2016-11-03 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| 1164885166 | Independent Group Home Living Program Inc | Nursing Facility/Intermediate Care Facility | 908 Melville Estates, Melville, NY 11747 | 2016-03-29 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1417338005 | Hotel Benefit Funds | Nursing Facility/Intermediate Care Facility | 625 Main St Apt 1432, New York, NY 10044-0036 | 2015-06-09 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
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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.