OP NEW BLOOMFIELD, LLC (NPI# 1710927579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710927579 |
| Entity Type | Organization |
| Organization Name | OP NEW BLOOMFIELD, LLC |
| Other Organization Name | THE MANOR AT PERRY VILLAGE |
| Practice Address |
213 E Main St New Bloomfield PA 17068-9657 |
| Mailing Address |
800 Concourse Pkwy S Suite 200 Maitland FL 32751-6148 |
| Practice Telephone | 7175824346 |
| Practice Fax Number | 7175828447 |
| Mailing Telephone | 4075711550 |
| Mailing Fax Number | 4075711599 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOSEPH CONTE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 4075711550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 161002 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1012271380001 | 05 |
| Other Name | Type Code |
|---|---|
| The Manor at Perry Village | Doing Business As Name - Organization |
| Street Address |
213 E MAIN ST |
| City | NEW BLOOMFIELD |
| State | PA |
| Zip Code | 17068-9657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073030185 | Premier At Perry Village for Nursing and Rehabilitation LLC | Skilled Nursing Facility | 213 E Main St, New Bloomfield, PA 17068-9657 | 2017-08-29 |
| 1508105180 | Elizabeth Lee Clark | Occupational Therapy Assistant | 213 E Main St, New Bloomfield, PA 17068-9657 | 2013-02-02 |
| 1174861843 | Jacqueline Kay Campbell | Occupational Therapist | 213 E Main St, New Bloomfield, PA 17068-9657 | 2013-01-30 |
| 1255345302 | Perry Village Facility Operations, LLC | Skilled Nursing Facility | 213 E Main St, New Bloomfield, PA 17068-9657 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083012660 | Amara Dell | Early Intervention Provider Agency | 303 Veterans Drive, New Bloomfield, PA 17068 | 2014-12-12 |
| 1427468578 | Diakon Child, Family & Community | Community/Behavioral Health | 300 West High Street, Co New Bloomfield Elementary School, New Bloomfield, PA 17068 | 2014-04-29 |
| 1053721191 | Diakon Child, Family & Community Ministries | Community/Behavioral Health | 25 East Mcclure Street, New Bloomfield Borough Building, New Bloomfield, PA 17068 | 2014-04-29 |
| 1740319326 | Perry Human Services | Community/Behavioral Health | 8391 Spring Road, New Bloomfield, PA 17068 | 2007-03-02 |
| 1336205194 | Diakon Lutheran Social Ministries | Community/Behavioral Health | Co New Bloomfield Borough Building, 25 East Mcclure Street, New Bloomfield, PA 17068 | 2006-12-28 |
| 1083770838 | Diakon Lutheran Social Ministries | Community/Behavioral Health | Co New Bloomfield Elementary School, 300 West High Street, New Bloomfield, PA 17068 | 2006-12-28 |
| 1356680904 | Jennifer Parry | Occupational Therapy Assistant | 213 East Main Street, New Bloomfield, PA 17068 | 2013-02-01 |
| 1821192055 | John Kramer Mcclellan | Pharmacist | 1 W Main St, New Bloomfield, PA 17068-0038 | 2006-09-08 |
| 1942362926 | New Bloomfield Ems | Ambulance | 23 W High St, New Bloomfield, PA 17068-0313 | 2006-12-15 |
| 1508890963 | Rodney Daryl Summerscales | Dentist | 100 East Main Street, New Bloomfield, PA 17068-0429 | 2006-07-10 |
| Find all providers in zip 17068 | ||||
| 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 |
|---|---|---|---|---|
| 1073030185 | Premier At Perry Village for Nursing and Rehabilitation LLC | Skilled Nursing Facility | 213 E Main St, New Bloomfield, PA 17068-9657 | 2017-08-29 |
| 1255345302 | Perry Village Facility Operations, LLC | Skilled Nursing Facility | 213 E Main St, New Bloomfield, PA 17068-9657 | 2006-07-27 |
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| 1851954176 | Silvercare Skilled Nursing LLC | Skilled Nursing Facility | 2600 W 9th St Unit A, Chester, PA 19013-2040 | 2019-04-22 |
| Find all providers with the same taxonomy | ||||
| City | NEW BLOOMFIELD |
| Zip Code | 17068 |
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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.