NURSING CARE CENTER AT MEDFORD INC


Address: 3115 Horseblock Rd, Medford, NY 11763
Phone: 6317303016

NURSING CARE CENTER AT MEDFORD INC (NPI# 1679563464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679563464
Entity Type Organization
Organization Name NURSING CARE CENTER AT MEDFORD INC
Other Organization Name MEDFORD MULTICARE CENTER
Practice Address 3115 Horseblock Rd
Medford
NY 11763
Practice Telephone 6317303016
Practice Fax Number 6317303131
Mailing Telephone 6317303016
Mailing Fax Number 6317303131
Enumeration Date 2005-10-24
Last Update Date 2010-04-14
Authorized Official Name MICHAEL F LEAHY (CONTROLLER)
Authorized Official Telephone 6317303016
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 5151319N NY Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 02357679 05

Other Provider/Organization Names

Other Name Type Code
Medford Multicare Center Doing Business As Name - Organization

Office Location

Street Address 3115 HORSEBLOCK RD
City MEDFORD
State NY
Zip Code 11763

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295391985 Kag Professional Nurse Practioner In Adult Health Pllc Nurse Practitioner 3115 Horseblock Rd, Medford, NY 11763-2526 2019-05-17
1053833962 Kelly Ann Godberson Nurse Practitioner 3115 Horseblock Rd, Medford, NY 11763-2526 2017-07-12
1104076892 Michelle Bennett Licensed Practical Nurse 3115 Horseblock Rd, Medford, NY 11763-2526 2008-09-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316572027 Rebecca Molino Specialist 9, 3251 Ny-112 #2, Medford, NY 11763 2020-03-03
1295203677 Hajar Taman Pharmacist 2975 Horseblock Road, Medford, NY 11763 2018-11-05
1265917041 Bay Taxi Inc Taxi 36/94 Horseblock Rd, Medford, NY 11763 2018-09-27
1184108383 Bay Taxi Inc Taxi 36/94 Horsblock Road, Medford, NY 11763 2018-09-24
1215419650 Megan Bell Speech-Language Pathologist 135 Buffalo Avenue, Medford, NY 11763 2018-09-01
1922592906 Elizabeth L Oakley Specialist 1 Sprat St, Medford, NY 11763 2018-06-21
1609383389 Federation of Organizations for The New York State Mentally Disabled Clinic/Center 3390 Route 112 Ste B, Medford, NY 11763 2018-01-04
1497109607 Tabitha Aitken Massage Therapist 28 Masem Ct, Medford, NY 11763 2016-04-14
1518326685 Betty Velez Specialist 21 Red Pine Rd, Medford, NY 11763 2016-02-18
1134527054 Angelo L D'esposito Social Worker 77 Robinson Ave, Medford, NY 11763 2014-12-09
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
1730386509 Hearthstone Skilled Nursing Facility 2901 E Barnett Rd, Medford, OR 97504-8308 2007-06-27
1114965894 Waterford Operations, LLC Skilled Nursing Facility 835 Crater Lake Ave, Medford, OR 97504-6505 2006-06-03
1033164272 Courtyard Nursing Care Center Partnership Skilled Nursing Facility 200 Governors Ave, Medford, MA 02155-1644 2006-05-24
1225025455 Michael F Flanagan, Receiver for Medfors Nursing Home Skilled Nursing Facility 616 S Front St, Medford, OK 73759-1714 2005-10-03
1760479349 Cpl (glen Ridge) LLC Skilled Nursing Facility 120 Murray Street, Medford, MA 02155-1300 2005-09-29
1639170988 Rogue Valley Manor Skilled Nursing Facility 1200 Mira Mar Ave, Medford, OR 97504-8546 2005-08-09
1467459008 Medford Convalescent & Nursing Center Skilled Nursing Facility 185 Tuckerton Rd, Medford, NJ 08055-8803 2005-06-28
1144223454 Winthrop House Senior Services, LLC Skilled Nursing Facility 300 Winthrop St, Medford, MA 02155-2311 2005-05-31
1013388719 Kristie-lee Wendler Skilled Nursing Facility 200 Governors Ave, Medford, MA 02155-1644 2015-10-07
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City MEDFORD
Zip Code 11763

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Dataset Information

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.

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