NPORT (NPI# 1720494727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720494727 |
| Entity Type | Organization |
| Organization Name | NPORT |
| Practice Address |
159 Johnston St Newburgh NY 12550-4523 |
| Mailing Address |
159 Johnston Street Newburgh NY 12550 |
| Practice Telephone | 8454188685 |
| Mailing Telephone | 8454188685 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |
| Authorized Official Name | KHADIJAH LATISSE SIMMONDS (CNA) |
| Authorized Official Telephone | 8454188685 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NPORT REGISTERED NURSING, PHYSICAL AND OCCUPATIONAL THERAPY AND SPEECH-LANGUAGE PATHOLOGY SERVICES, PLLC | 2600 Compass Rd, Glenview, Il 60026 |
| Colorado Business Entities | NPortlance RD LLC | 550 Jacaranda Ct, Alpharetta, GA 30022-7052 |
| Street Address |
159 JOHNSTON ST |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-4523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518326446 | Khadijah Latisse Theresa Simmonds | Nurse's Aide | 159 Johnston St, Newburgh, NY 12550-4523 | 2016-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| 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 |
|---|---|---|---|---|
| 1518022813 | Elant At Newburgh, Inc. | Skilled Nursing Facility | 172 Meadow Hill Road, Newburgh, NY 12550-3878 | 2006-12-27 |
| 1285707380 | Extendicare Homes, Inc. | Skilled Nursing Facility | 4255 Medwel Dr, Newburgh, IN 47630-2528 | 2006-11-16 |
| 1689626863 | Hendricks County Hospital | Skilled Nursing Facility | 4088 Frame Rd, Newburgh, IN 47630-2258 | 2006-05-16 |
| 1629581749 | Jaikumar Ravunniarath Medical P.C. | Skilled Nursing Facility | 172 Meadow Hill Rd, Newburgh, NY 12550 | 2017-11-11 |
| 1275078404 | Newburgh Operations LLC | Skilled Nursing Facility | 172 Meadow Hill Rd, Newburgh, NY 12550-3878 | 2016-12-26 |
| 1023552205 | Dycora Transitional Health - Newburgh LLC | Skilled Nursing Facility | 4088 Frame Rd, Newburgh, IN 47630-2258 | 2016-12-07 |
| 1952742637 | Jackson County Schneck Memorial Hospital | Skilled Nursing Facility | 5233 Rosebud Ln, Newburgh, IN 47630-9283 | 2013-07-10 |
| 1366788184 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4255 Medwell Dr, Newburgh, IN 47630-2528 | 2012-12-26 |
| 1205123684 | Andre Woroschinski Jr. | Skilled Nursing Facility | 350 Grand St, Newburgh, NY 12550-3612 | 2011-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730701343 | Diamond Medical Employment Agency Inc | Skilled Nursing Facility | 21873 Hempstead Ave, Queens Village, NY 11429-2103 | 2020-05-18 |
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1659936334 | Nelson Tannis | Skilled Nursing Facility | 165 Broadway, New York, NY 10006-1404 | 2019-05-07 |
| 1295390029 | Westgate Operations Associates LLC | Skilled Nursing Facility | 525 Beahan Rd, Rochester, NY 14624-3403 | 2019-05-07 |
| 1952883423 | Roscoe Regional Healthcare LLC | Skilled Nursing Facility | 420 Rockland Rd, Roscoe, NY 12776-6450 | 2018-08-31 |
| 1164904769 | Renaissance Healthcare Group, LLC | Skilled Nursing Facility | 4975 Albany Post Rd, Staatsburg, NY 12580-6032 | 2018-08-30 |
| 1477049807 | Itkin Occupational Therapy PC | Skilled Nursing Facility | 134 Mackenzie Street, Brooklyn, NY 11235 | 2018-07-09 |
| 1699280826 | 239 Legris Avenue Operations LLC | Skilled Nursing Facility | 3118 Quentin Rd, Brooklyn, NY 11234-4235 | 2017-12-11 |
| 1376058578 | Yonkers Gardens, LLC | Skilled Nursing Facility | 115 S Broadway, Yonkers, NY 10701-4006 | 2017-12-10 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
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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.