MR. MATT DAPORE (NPI# 1740600964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740600964 |
Entity Type | Individual |
Full Name | MR. MATT DAPORE |
Practice Address |
203 Buckeye St Rockford OH 45882-9266 |
Mailing Address |
2968 Jericho Pl Delaware OH 43015-3175 |
Practice Telephone | 4193632193 |
Mailing Telephone | 6144017294 |
Enumeration Date | 2014-04-28 |
Last Update Date | 2014-04-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 376G00000X | Nursing Home Administrator | 5096-2 | OH | Nursing Service Related Providers |
Street Address |
203 BUCKEYE ST |
City | ROCKFORD |
State | OH |
Zip Code | 45882-9266 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417369760 | Colonial Healthcare LLC | Skilled Nursing Facility | 203 Buckeye St, Rockford, OH 45882-9266 | 2014-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366531444 | John K Granger | Dentist | 160 E Walnut St, Rockford, OH 45882-0314 | 2006-10-12 |
1205881661 | The Laurels of Rockford, Inc. | Nursing Facility/Intermediate Care Facility | 10731 State Route 118, Rockford, OH 45882-8947 | 2006-05-24 |
1376144782 | Shane Hill Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 10731 State Route 118, Rockford, OH 45882-8947 | 2020-11-03 |
1952483455 | The Laurels of Rockford, Inc. | Durable Medical Equipment & Medical Supplies | 10731 State Route 118, Rockford, OH 45882-8947 | 2006-10-20 |
1730183591 | Jerry D Sell | Family Medicine | 506 S Main St, Rockford, OH 45882-9228 | 2005-06-09 |
1851810212 | Lisa Renee Rolfes | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2017-09-16 |
1740704857 | Benjamin Keith Gudorf | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2017-07-31 |
1053454314 | Van Wert Medical Services | Specialist | 506 S Main St, Rockford, OH 45882-9228 | 2007-02-15 |
1275537045 | Rona M. Dellinger | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2005-06-09 |
1811015951 | Healthcare Management Counsultants, Inc | Skilled Nursing Facility | 201 Buckeye St, Rockford, OH 45882-9266 | 2007-03-27 |
Find all providers in zip 45882 |
Taxonomy Code | 376G00000X |
Grouping | Nursing Service Related Providers |
Classification | Nursing Home Administrator |
An individual, often licensed by the state, who is responsible for the management of a nursing home. |
Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760830673 | Monica Plymale | Nursing Home Administrator | 4401 N Main St, Rockford, IL 61103-1277 | 2016-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811474463 | Frances Frabotta | Nursing Home Administrator | 7586 Ruth St, Mentor, OH 44060-6016 | 2018-07-26 |
1821346420 | Janet Somi Wilkerson | Nursing Home Administrator | 77 Fawn Dr Apt 302, Fairfield, OH 45014-6156 | 2012-08-29 |
1255637492 | Brandi Samantha Searcy | Nursing Home Administrator | 382 Elson Ave, Barberton, OH 44203-4176 | 2011-02-06 |
1689832420 | Glenda Alise Johnson | Nursing Home Administrator | 13514 Kelso Ave, Cleveland, OH 44110 | 2008-05-29 |
1508069519 | Nicholas Ageboh Morfaw | Nursing Home Administrator | 200 Parklawn Blvd Apt E, Columbus, OH 43213-3811 | 2007-06-07 |
1487861191 | Henrietta Tsanyi Bettah | Nursing Home Administrator | 4795 Hummingbird Ct S, Columbus, OH 43229-5619 | 2007-05-16 |
1861907834 | Carla Sue Daasch | Nursing Home Administrator | 476 Riddle Rd, Cincinnati, OH 45220-2411 | 2017-12-12 |
1336530856 | Ezinne Ndukwe | Nursing Home Administrator | 1279 E Dublin Granville Rd, Columbus, OH 43229-3300 | 2015-02-06 |
1528463171 | Sherry Webb | Nursing Home Administrator | 152 Main Street, Cloverdale, OH 45827-0086 | 2014-10-24 |
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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.