ELIZABETHTOWN OPCO LLC (NPI# 1689159972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689159972 |
Entity Type | Organization |
Organization Name | ELIZABETHTOWN OPCO LLC |
Practice Address |
1101 Woodland Dr Elizabethtown KY 42701-2749 |
Practice Telephone | 2707656106 |
Practice Fax Number | 2707376690 |
Mailing Telephone | 2707656106 |
Mailing Fax Number | 2707376690 |
Enumeration Date | 2018-10-02 |
Last Update Date | 2018-10-02 |
Authorized Official Name | MOSHE KELMAN (MANAGING MEMBER) |
Authorized Official Telephone | 9176131662 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | LICENSE | 100161 | 01 |
Other Name | Type Code |
---|---|
Elizabethtown Nursing and Rehabilitation Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851990675 | Elizabethtown Opco LLC | Skilled Nursing Facility | 141 Heisey Avenue, Elizabethtown, PA 17022-8107 | 2020-10-22 |
Street Address |
1101 WOODLAND DR |
City | ELIZABETHTOWN |
State | KY |
Zip Code | 42701-2749 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790858801 | Extendicare Homes, Inc. | Skilled Nursing Facility | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-11-16 |
1346500303 | Elizabethtown Health Facilities Lp | Skilled Nursing Facility | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2012-05-24 |
1447574389 | Brandi J Clark | Speech-Language Pathologist | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2010-03-22 |
1265756407 | Lindsay Eubank | Speech-Language Pathologist | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2010-03-17 |
1104140342 | Jessica F Fisher | Physical Therapy Assistant | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2010-03-17 |
1689837411 | Kelli Padgett | Occupational Therapist | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2008-07-02 |
1659562874 | Christy Hunt | Physical Therapy Assistant | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2007-08-05 |
1194915447 | Lisa King | Occupational Therapy Assistant | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2007-08-01 |
1780882704 | Steven Charles Vandorn | Occupational Therapy Assistant | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2007-07-11 |
1952509341 | Monica Gahagan | Occupational Therapy Assistant | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2007-07-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
Find all providers in zip 42701 |
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 |
---|---|---|---|---|
1851990675 | Elizabethtown Opco LLC | Skilled Nursing Facility | 141 Heisey Avenue, Elizabethtown, PA 17022-8107 | 2020-10-22 |
1891810826 | Rheems Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 141 Heisey Ave, Elizabethtown, PA 17022-8107 | 2007-03-20 |
1790858801 | Extendicare Homes, Inc. | Skilled Nursing Facility | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-11-16 |
1003860412 | Sunbridge Retirement Care Associates LLC | Skilled Nursing Facility | 804 S Poplar St, Elizabethtown, NC 28337-9226 | 2006-05-20 |
1073580957 | Elizabethtown Nursing Center, Inc. | Skilled Nursing Facility | 208 Mercer Rd, Elizabethtown, NC 28337-3938 | 2006-03-01 |
1467448274 | Essex County Treasurer | Skilled Nursing Facility | 81 Park St, Elizabethtown, NY 12932 | 2005-09-27 |
1801894118 | Wells Health Systems, Inc. | Skilled Nursing Facility | 225 Saint John Rd, Elizabethtown, KY 42701-2918 | 2005-07-11 |
1225636301 | Emerald Operator LLC | Skilled Nursing Facility | 320 S Market St, Elizabethtown, PA 17022-2422 | 2020-10-12 |
1215545777 | Baptist Healthcare System Inc | Skilled Nursing Facility | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2020-07-21 |
1588219828 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 208 Mercer Rd, Elizabethtown, NC 28337 | 2019-08-05 |
Find all providers in ELIZABETHTOWN |
City | ELIZABETHTOWN |
Zip Code | 42701 |
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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.