NYACK MANOR NURSING HOME (NPI# 1730173808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730173808 |
| Entity Type | Organization |
| Organization Name | NYACK MANOR NURSING HOME |
| Practice Address |
476 Christian Herald Rd Valley Cottage NY 10989-2230 |
| Practice Telephone | 8452686861 |
| Practice Fax Number | 8452686861 |
| Mailing Telephone | 8452686861 |
| Mailing Fax Number | 8452686861 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2015-08-03 |
| Authorized Official Name | MS. CHRISTINE E SLEDZIEWSKI (CONTROLLER) |
| Authorized Official Telephone | 5183822427 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 4350302N | NY | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00310816 | 05 |
| Street Address |
476 CHRISTIAN HERALD RD |
| City | VALLEY COTTAGE |
| State | NY |
| Zip Code | 10989-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203883 | Chana Resnick | Occupational Therapist | 476 Christian Herald Rd, Valley Cottage, NY 10989-2230 | 2020-07-26 |
| 1750850574 | Joby Mathew | Occupational Therapy Assistant | 476 Christian Herald Rd, Valley Cottage, NY 10989-2230 | 2018-11-21 |
| 1033623491 | Nyack Operating LLC | Skilled Nursing Facility | 476 Christian Herald Rd, Valley Cottage, NY 10989-2230 | 2017-11-21 |
| 1225384100 | Denise Foster | Psychologist | 476 Christian Herald Rd, Valley Cottage, NY 10989-2230 | 2012-07-30 |
| 1073559951 | Thomas Edward Heinzen | Psychologist | 476 Christian Herald Rd, Valley Cottage, NY 10989-2230 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982237392 | Aviva Weldon | Social Worker | 991 Sierra Vista Lane, Valley Cottage, NY 10989 | 2020-02-14 |
| 1497201792 | Nighat Afzal | Social Worker | 140 Rout 303, Suit F, Valley Cottage, NY 10989 | 2016-08-28 |
| 1316396484 | Noreen Shimkus | Physical Therapist | 412 Storms Rd, Valley Cottage, NY 10989 | 2016-06-08 |
| 1134585680 | Lissette Rivas | Licensed Practical Nurse | 405 Sierra Vista Lane, Valley Cottage, NY 10989 | 2016-01-13 |
| 1902219124 | Ralph Jacques Alphonse | Licensed Practical Nurse | 533kings Hwy, Valley Cottage, NY 10989 | 2014-06-05 |
| 1750723516 | Noel Teresa Delgado | Licensed Practical Nurse | 137 New York Route 303, Box 13, Valley Cottage, NY 10989 | 2013-07-22 |
| 1497078943 | Tulasi Malla | Pharmacist | 33 Route 303, Valley Cottage, NY 10989 | 2010-03-11 |
| 1083881643 | Sonia C Reines | Social Worker | 336 Old Mill Rd, Valley Cottage, NY 10989 | 2008-05-13 |
| 1952582520 | Siobhan P Lamasney | Nurse Practitioner | 695 Sierra Vista Lane, Valley Cottage, NY 10989 | 2007-11-23 |
| 1841412194 | Cheryl Cohen | Occupational Therapist | 313 Sierra Vista Lane, Valley Cottage, NY 10989 | 2007-05-03 |
| Find all providers in zip 10989 | ||||
| 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 |
|---|---|---|---|---|
| 1114913902 | Tolstoy Foundation Nursing Home Company Inc | Skilled Nursing Facility | 100 Lake Rd, Valley Cottage, NY 10989-2339 | 2005-09-27 |
| 1033623491 | Nyack Operating LLC | Skilled Nursing Facility | 476 Christian Herald Rd, Valley Cottage, NY 10989-2230 | 2017-11-21 |
| 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 | ||||
| City | VALLEY COTTAGE |
| Zip Code | 10989 |
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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.