BEREA OPERATIONS, LLC (NPI# 1760934392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760934392 |
| Entity Type | Organization |
| Organization Name | BEREA OPERATIONS, LLC |
| Practice Address |
1043 Brooklyn Blvd Berea KY 40403-1090 |
| Mailing Address |
300 Provider Ct Richmond KY 40475-8488 |
| Practice Telephone | 8596268106 |
| Mailing Telephone | 8596230898 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2017-06-16 |
| Authorized Official Name | BENJAMIN LANDA (MANAGING MEMBER) |
| Authorized Official Telephone | 5168693700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
1043 BROOKLYN BLVD |
| City | BEREA |
| State | KY |
| Zip Code | 40403-1090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225027840 | Berea Area Development LLC | Skilled Nursing Facility | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2005-10-17 |
| 1659937209 | Amanda Jane Hale | Speech-Language Pathologist | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2019-05-18 |
| 1184103210 | Benjamin Daniel Jones | Physical Therapist | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2018-08-09 |
| 1821597006 | Misty Blaylock | Speech-Language Pathologist | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2018-02-02 |
| 1336652585 | Back Office Management Services LLC | Podiatrist | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2017-11-09 |
| 1699285957 | Haley Douglas Kidd | Occupational Therapist | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2017-10-01 |
| 1487106480 | Aleshia Ariel Harris | Occupational Therapist | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2016-10-26 |
| 1255425161 | Jessica Lee Daugherty-peters | Occupational Therapist | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| 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 |
|---|---|---|---|---|
| 1336178623 | Berea Health Care, Inc. | Skilled Nursing Facility | 601 Richmond Rd N, Berea, KY 40403-8788 | 2006-07-01 |
| 1275562407 | Thi of Ohio At Northwestern LLC | Skilled Nursing Facility | 570 N Rocky River Dr, Berea, OH 44017-1613 | 2006-07-01 |
| 1679519714 | Thi of Ohio At Berea LLC | Skilled Nursing Facility | 49 Sheldon Rd, Berea, OH 44017-1136 | 2006-06-20 |
| 1023090511 | Front Leasing Co., LLC | Skilled Nursing Facility | 255 Front Street, Berea, OH 44017-1943 | 2005-11-18 |
| 1225027840 | Berea Area Development LLC | Skilled Nursing Facility | 1043 Brooklyn Blvd, Berea, KY 40403-1090 | 2005-10-17 |
| 1437653961 | Aj Aristocrat Berea Opco LLC | Skilled Nursing Facility | 255 Front St, Berea, OH 44017-1943 | 2018-03-20 |
| 1619487741 | Berea Healthcare, LLC | Skilled Nursing Facility | 601 Richmond Rd N, Berea, KY 40403-8788 | 2017-10-03 |
| 1174797328 | Front Leasing Co LLC | Skilled Nursing Facility | 255 Front St, Berea, OH 44017-1943 | 2008-04-18 |
| 1235317694 | Rocky River Leasing Co., LLC | Skilled Nursing Facility | 570 N Rocky River Dr, Berea, OH 44017-1613 | 2008-02-07 |
| 1417135526 | Sheldon Leasing Co., LLC | Skilled Nursing Facility | 49 Sheldon Rd, Berea, OH 44017-1136 | 2008-01-31 |
| Find all providers in BEREA | ||||
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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.