WALLINGFORD NURSING AND REHABILITATION CENTER-WALLINGFORD PA, LLC (NPI# 1669429288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669429288 |
| Entity Type | Organization |
| Organization Name | WALLINGFORD NURSING AND REHABILITATION CENTER-WALLINGFORD PA, LLC |
| Other Organization Name | MANORCARE HEALTH SERVICES - WALLINGFORD |
| Practice Address |
115 S Providence Rd Wallingford PA 19086-6333 |
| Mailing Address |
333 N Summit St Toledo OH 43604-2615 |
| Practice Telephone | 6105653232 |
| Practice Fax Number | 6108920830 |
| Mailing Telephone | 4192525500 |
| Mailing Fax Number | 8773859446 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2017-05-09 |
| Authorized Official Name | MR. MARTIN D ALLEN (DIRECTOR) |
| Authorized Official Telephone | 4192525743 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 230102 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1020575240001 | 05 |
| Other Name | Type Code |
|---|---|
| ManorCare Health Services - Wallingford | Doing Business As Name - Organization |
| Street Address |
115 S PROVIDENCE RD |
| City | WALLINGFORD |
| State | PA |
| Zip Code | 19086-6333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316566375 | Catherine F Kenney | Nurse Practitioner | 115 S Providence Rd, Wallingford, PA 19086-6333 | 2020-04-10 |
| 1407009434 | Donna Angelini Keeley | Occupational Therapy Assistant | 115 S Providence Rd, Wallingford, PA 19086-6333 | 2008-11-04 |
| 1598917205 | Rajeshkumar R Desai | Occupational Therapist | 115 S Providence Rd, Wallingford, PA 19086-6333 | 2008-10-14 |
| 1124279971 | Joanne Fagan Owens | Physical Therapy Assistant | 115 S Providence Rd, Wallingford, PA 19086-6333 | 2008-10-09 |
| 1194976423 | Stephen W Spanier | Physical Therapist | 115 S Providence Rd, Wallingford, PA 19086-6333 | 2008-10-06 |
| 1346491784 | Joe Mike Quinn | Occupational Therapy Assistant | 115 S Providence Rd, Wallingford, PA 19086-6333 | 2008-10-03 |
| 1497906895 | Priscilla Ann Fortune-bell | Physical Therapy Assistant | 115 S Providence Rd, Wallingford, PA 19086-6333 | 2008-10-03 |
| 1003067562 | Heather L. Cole | Occupational Therapist | 115 S Providence Rd, Wallingford, PA 19086-6333 | 2008-10-02 |
| 1992956676 | Karen Z Myers | Physical Therapist | 115 S Providence Rd, Wallingford, PA 19086-6333 | 2008-10-01 |
| 1487804266 | Corinne Rosenberger O'grady | Physical Therapist | 115 S Providence Rd, Wallingford, PA 19086-6333 | 2008-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780168997 | Cara Grace Termini | Speech-Language Pathologist | 315 Prichard Ln, Wallingford, PA 19086 | 2018-09-24 |
| 1235633637 | Katharina Stephanie Shaw | Student in an Organized Health Care Education/Training Program | 100 Blackthorn Rd, Wallingford, PA 19086 | 2018-03-20 |
| 1750790382 | Debra Thompson | Psychologist | 715 Scott Lane, Wallingford, PA 19086 | 2014-08-07 |
| 1265853709 | Tamar V Jefferis | Internal Medicine | 19 N. Providence Road, Box 267, Wallingford, PA 19086 | 2013-12-31 |
| 1396052460 | Sabina Sharmeen | Internal Medicine | 1161, Putnam Boulovard, Wallingford, PA 19086 | 2010-09-09 |
| 1790922789 | Carol Lecleire | Dentist | 9 Dale Lane, Wallingford, PA 19086 | 2009-01-13 |
| 1104885995 | Wallingford-swarthmore Sd | Speech-Language Pathologist | 200 South Providence Rd, Wallingford, PA 19086-3817 | 2006-03-21 |
| 1700841780 | Wallingford Swarthmore Sd | Clinic/Center | 200 South Providence Rd, Wallingford, PA 19086-3817 | 2006-04-20 |
| 1477890317 | Alison S. Neuhaus | Lactation Consultant, Non-RN | 305 Dogwood Ln, Wallingford, PA 19086-6007 | 2013-01-11 |
| 1881648095 | Amir Katz | Physical Medicine & Rehabilitation | 303 Plush Mill Rd, Wallingford, PA 19086-6022 | 2006-05-20 |
| Find all providers in zip 19086 | ||||
| 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 |
|---|---|---|---|---|
| 1275918443 | 55 Kondracki Lane Operations LLC | Skilled Nursing Facility | 55 Kondracki Ln, Wallingford, CT 06492-4951 | 2015-07-29 |
| 1063604601 | Club Staffing | Skilled Nursing Facility | 1345 Whirlwind Hill Rd, Wallingford, CT 06492-2727 | 2007-08-17 |
| 1528126232 | Regency House of Wallingford, Inc. | Skilled Nursing Facility | 181 E Main St, Wallingford, CT 06492-3947 | 2006-12-05 |
| 1558306985 | Health Resources of Wallingford, Inc. | Skilled Nursing Facility | 35 Marc Dr, Wallingford, CT 06492-5708 | 2006-06-19 |
| 1083607543 | Brook Hollow Health Care Center LLC | Skilled Nursing Facility | 55 Kondracki Lane, Wallingford, CT 06492-4951 | 2005-08-30 |
| 1023576790 | Sv Opco LLC | Skilled Nursing Facility | 35 Marc Dr, Wallingford, CT 06492-5708 | 2019-03-12 |
| 1235500497 | Masonicare Health Center | Skilled Nursing Facility | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2015-10-14 |
| 1306212188 | Masonicare Health Center | Skilled Nursing Facility | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2015-08-17 |
| 1043690100 | Masonicare Health Center | Skilled Nursing Facility | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2015-06-04 |
| 1699905794 | Genesis Rehab Services | Skilled Nursing Facility | 35 Marc Dr, Wallingford, CT 06492-5708 | 2009-07-23 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 19086 |
Please comment or provide details below to improve the information on WALLINGFORD NURSING AND REHABILITATION CENTER-WALLINGFORD PA, LLC.
| 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.