EDEN PARK HEALTH SERVICES, INC. (NPI# 1790855864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790855864 |
| Entity Type | Organization |
| Organization Name | EDEN PARK HEALTH SERVICES, INC. |
| Other Organization Name | EDEN PARK HEALTH CARE CENTER |
| Practice Address |
154 Jefferson Hts Catskill NY 12414-1215 |
| Mailing Address |
22 Holland Ave Albany NY 12209-1713 |
| Practice Telephone | 5189435151 |
| Mailing Telephone | 5184364731 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT GLOCK (PRESIDENT) |
| Authorized Official Telephone | 5184364731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1921301N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00312285 | 05 |
| Other Name | Type Code |
|---|---|
| Eden Park Health Care Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407926561 | Eden Park Health Services, Inc. | Skilled Nursing Facility | 136 Parkway Dr, Cobleskill, NY 12043-5150 | 2006-11-08 |
| 1619047750 | Eden Park Health Services, Inc. | Skilled Nursing Facility | 1800 Butterfield Ave, Utica, NY 13501-5610 | 2006-11-08 |
| 1093885147 | Eden Park Health Services, Inc. | Skilled Nursing Facility | 170 Warren St, Glens Falls, NY 12801-4525 | 2006-11-08 |
| 1548330624 | Eden Park Health Services, Inc. | Skilled Nursing Facility | 100 Franklin St, Poughkeepsie, NY 12601-4341 | 2006-11-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EDEN PARK HEALTH SERVICES, INC. | 7300 Oleander Ave, Port St Lucie, Fl 34952 |
| Street Address |
154 JEFFERSON HTS |
| City | CATSKILL |
| State | NY |
| Zip Code | 12414-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093971822 | Marsha Cutting | Psychologist | 154 Jefferson Hts, Catskill, NY 12414-1215 | 2008-07-31 |
| 1750578639 | Necole Renee Good | Skilled Nursing Facility | 154 Jefferson Hts, Catskill, NY 12414-1215 | 2007-09-25 |
| 1780899740 | Janis Lynn Pforsich | Occupational Therapist | 154 Jefferson Hts, Eden Park Restorative Therapy Center, Catskill, NY 12414-1215 | 2007-05-13 |
| 1669690251 | Michelle Ann Blakesley | Physical Therapist | 154 Jefferson Hts, Catskill, NY 12414-1215 | 2007-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134653561 | Kelly Meyer | Specialist/Technologist | 30 Edgemere Hill Rd, Catskill, NY 12414 | 2017-04-12 |
| 1417498429 | Susan Carol Grecke | Social Worker | 110 Jefferson Heights, Catskill, NY 12414 | 2017-03-10 |
| 1487977575 | Matthew P Grassi | Pharmacist | 320 West Bridge St, Price Chopper Pharmacy 042, Catskill, NY 12414 | 2010-03-04 |
| 1033395900 | Carina Charlotte Madzelan | Pharmacist | 226 West Bridge St, Catskill, NY 12414 | 2008-01-10 |
| 1679775696 | Danielle Marie Swisher | Occupational Therapy Assistant | 161 Jefferson Heights, Catskill, NY 12414 | 2007-06-01 |
| 1679780217 | Rebecca Marie Calautti | Physical Therapy Assistant | 161 Jefferson Heights Rd, Catskill, NY 12414 | 2007-05-16 |
| 1306908322 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 30 Catskill Cmns, Catskill, NY 12414 | 2006-12-15 |
| 1609953264 | Kristen Dainton Hilliard | Chiropractor | 7987 Route 9w, Catskill, NY 12414 | 2006-11-01 |
| 1710233861 | Columbia Memorial Hospital | Clinic/Center | 159 Jefferson Hts, Suite D-201, Catskill, NY 12414 | 2012-07-26 |
| 1629367024 | Wendy Marie Johnson | Registered Nurse | 411 Main St, Suite 300, Catskill, NY 12414 | 2011-04-06 |
| Find all providers in zip 12414 | ||||
| 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 |
|---|---|---|---|---|
| 1649486507 | Catskill Crossings LLC | Skilled Nursing Facility | 154 Jefferson Heights, Catskill, NY 12414-1215 | 2007-05-15 |
| 1386639771 | Columbia Memorial Hospital | Skilled Nursing Facility | 161 Jefferson Hts, Catskill, NY 12414-1239 | 2005-09-13 |
| 1881066835 | Kaaterskil Operating LLC | Skilled Nursing Facility | 161 Jefferson Hts, Catskill, NY 12414-1239 | 2015-10-28 |
| 1750578639 | Necole Renee Good | Skilled Nursing Facility | 154 Jefferson Hts, Catskill, NY 12414-1215 | 2007-09-25 |
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|---|---|---|---|---|
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| 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.