GLEN OAKS HEALTHCARE LLC (NPI# 1679116370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679116370 |
| Entity Type | Organization |
| Organization Name | GLEN OAKS HEALTHCARE LLC |
| Other Organization Name | GLEN OAKS HEALTH AND REHABILITATION |
| Practice Address |
1101 Glenoaks Rd Shelbyville TN 37160 |
| Mailing Address |
525 Chestnut Street Cedarhurst NY 11516 |
| Practice Telephone | 6152507100 |
| Practice Fax Number | 6152507101 |
| Mailing Telephone | 3476770448 |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | MR. SAMUEL GOLDNER (PRESIDENT) |
| Authorized Official Telephone | 3476770448 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Glen Oaks Health and Rehabilitation | Doing Business As Name - Organization |
| Viviant Healthcare of Shelbyville | Doing Business As Name - Organization |
| Street Address |
1101 GLENOAKS RD |
| City | SHELBYVILLE |
| State | TN |
| Zip Code | 37160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871794222 | Glen Oaks, LLC | Skilled Nursing Facility | 1101 Glenoaks Rd, Shelbyville, TN 37160 | 2007-05-31 |
| 1316562283 | Sightrite Medical Tn LLC | Optometrist | 1101 Glenoaks Rd, Shelbyville, TN 37160-2529 | 2020-06-16 |
| 1962065953 | Shelbyville Center for Nursing and Rehabilitation LLC | Skilled Nursing Facility | 1101 Glenoaks Rd, Shelbyville, TN 37160-2529 | 2019-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255821310 | Middle Tennessee Support Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 375 Uselton Road, Shelbyville, TN 37160 | 2018-05-15 |
| 1194224998 | Stephen Blake Feldhaus | Nurse Practitioner | 112 Airport Business Park Rd, Ste H, Shelbyville, TN 37160 | 2018-02-07 |
| 1285158519 | Angelique Lynn Oliver | Case Management | 604 S. Wall St., Shelbyville, TN 37160 | 2017-07-28 |
| 1215476445 | Acts of Kindness | Home Health | 213 Lane Parkway, Shelbyville, TN 37160 | 2017-02-21 |
| 1255727681 | Nancy Elizabeth Hudson | Counselor | 117 Mcgrew Street, Shelbyville, TN 37160 | 2015-04-13 |
| 1699177956 | Shelbyville Medical Group, Pllc | Family Medicine | 221 Lane Parkway, Shelbyville, TN 37160 | 2014-09-18 |
| 1154637122 | Digestive Healthcare of Central Tennessee, Pllc | Internal Medicine | 112 Airport Business Park Drive, Suite G, Shelbyville, TN 37160 | 2010-08-27 |
| 1871791293 | Frank L Jayakody Md PC | Family Medicine | 1701 North Main St, Shelbyville, TN 37160 | 2007-07-06 |
| 1346459385 | Chamberland Dentistry PC | Preferred Provider Organization | 1006 Colloredo Blvd, Shelbyville, TN 37160 | 2007-05-22 |
| 1336354422 | Rick Ritter | Physical Therapist | 313 Collerado Blvd., Ste. 2, Shelbyville, TN 37160 | 2007-05-11 |
| Find all providers in zip 37160 | ||||
| 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 |
|---|---|---|---|---|
| 1629222633 | Petersen Health Operations | Skilled Nursing Facility | 2116 W South 3rd St, Shelbyville, IL 62565-9102 | 2008-11-05 |
| 1871794222 | Glen Oaks, LLC | Skilled Nursing Facility | 1101 Glenoaks Rd, Shelbyville, TN 37160 | 2007-05-31 |
| 1811007370 | Bedford County Nursing Home | Skilled Nursing Facility | 835 Union St, Shelbyville, TN 37160-2607 | 2006-08-30 |
| 1912015058 | Hancock Regional Hospital | Skilled Nursing Facility | 2200 N Riley Hwy, Shelbyville, IN 46176-9465 | 2006-08-28 |
| 1245343706 | Crestview Nursing, LLC | Skilled Nursing Facility | 1871 Midland Trl, Shelbyville, KY 40065-9111 | 2006-08-17 |
| 1669495131 | Masonic Homes of Kentucky Inc | Skilled Nursing Facility | 711 Frankfort Rd, Shelbyville, KY 40065-9447 | 2006-07-25 |
| 1518990704 | Shelbyville Hco, LLC | Skilled Nursing Facility | 2116 South 3rd Street, Shelbyville, IL 62565 | 2006-07-09 |
| 1770538290 | Glen Oaks Convalescent Center | Skilled Nursing Facility | 1101 Glen Oaks Road, Shelbyville, TN 37160 | 2006-05-23 |
| 1851387260 | Unlimited Development, Inc | Skilled Nursing Facility | 1111 West North 12th St, Shelbyville, IL 62565-9554 | 2005-09-21 |
| 1912530189 | Shelbyville Hco, LLC | Skilled Nursing Facility | 2116 W South 3rd St, Shelbyville, IL 62565-9102 | 2020-02-17 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 37160 |
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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.