AGEWISE LIVING, INC (NPI# 1861044430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861044430 |
| Entity Type | Organization |
| Organization Name | AGEWISE LIVING, INC |
| Practice Address |
204 W Washington Ave Sterling KS 67579-1614 |
| Practice Telephone | 6209040025 |
| Practice Fax Number | 6202783581 |
| Mailing Telephone | 6209040025 |
| Mailing Fax Number | 6202783581 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | JOHN R GRACE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7855066003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Sterling Village | Doing Business As Name - Organization |
| Street Address |
204 W WASHINGTON AVE |
| City | STERLING |
| State | KS |
| Zip Code | 67579-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972607299 | Presbyterian Manors, Inc. | Skilled Nursing Facility | 204 W Washington Ave, Sterling, KS 67579-1614 | 2006-09-08 |
| 1053690693 | Jama Rane'e Nicholas | Occupational Therapy Assistant | 204 W Washington Ave, Sterling, KS 67579-1614 | 2011-08-14 |
| 1053629105 | Cynthia Jayne Morton | Occupational Therapy Assistant | 204 W Washington Ave, Sterling, KS 67579-1614 | 2010-09-22 |
| 1841470531 | Mary Robles | Occupational Therapist | 204 W Washington Ave, Sterling, KS 67579-1614 | 2007-11-09 |
| 1174718753 | Jody Lynn Vesper | Physical Therapist | 204 W Washington Ave, Sterling, KS 67579-1614 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013442193 | Season Graves | Specialist/Technologist | 125 W Cooper, Sterling, KS 67579 | 2017-04-26 |
| 1104351543 | Ryan Jay Manely | Specialist/Technologist | 125 West Cooper, Sterling College, Sterling, KS 67579 | 2017-04-24 |
| 1710522263 | Sterling Children & Family Therapy | Social Worker | 802 N 7th St, Sterling, KS 67579-1514 | 2019-11-07 |
| 1205203551 | Nicole Marie Glasgow | Specialist/Technologist | 125 W Cooper St, Sterling, KS 67579-1533 | 2015-08-21 |
| 1710524251 | Anna Kuns | Specialist/Technologist | 125 W Cooper St, Sterling, KS 67579-1533 | 2019-12-03 |
| 1114442985 | Nathaniel David Diller | Specialist/Technologist | 125 W Cooper St, Sterling, KS 67579-1533 | 2017-08-13 |
| 1942736970 | Allen Jeter | Specialist/Technologist | 125 W Cooper St, Sterling, KS 67579-1533 | 2017-05-11 |
| 1790210235 | Brittainy Surace | Specialist/Technologist | 125 W Cooper St, Sterling, KS 67579-1533 | 2017-04-21 |
| 1215487020 | Erin Laudermilk | Specialist/Technologist | 125 W Cooper St, Sterling, KS 67579-1533 | 2016-10-05 |
| 1881059095 | Edward Joseph Streckfus Iv | Specialist/Technologist | 125 W Cooper St, Sterling, KS 67579-1533 | 2015-12-15 |
| Find all providers in zip 67579 | ||||
| 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 |
|---|---|---|---|---|
| 1275945024 | Cambridge Healthcare | Skilled Nursing Facility | 22960 Shaw Rd Ste 605, Sterling, VA 20166-9447 | 2014-05-28 |
| 1710291679 | Ccsp Nova LLC | Skilled Nursing Facility | 46531 Harry Byrd Hwy, Sterling, VA 20164-3555 | 2010-08-03 |
| 1518127539 | Infinity Rehab | Skilled Nursing Facility | 208 E 9th St Apt A, Sterling, IL 61081-2444 | 2008-06-12 |
| 1972607299 | Presbyterian Manors, Inc. | Skilled Nursing Facility | 204 W Washington Ave, Sterling, KS 67579-1614 | 2006-09-08 |
| 1275550105 | Sterling Snf Management, LLC | Skilled Nursing Facility | 612 West St Marys Street, Sterling, IL 61081-9040 | 2006-07-16 |
| 1609837608 | Medilodge of Sterling LLC | Skilled Nursing Facility | 500 S School Rd, Sterling, MI 48659-9799 | 2006-03-29 |
| 1851378046 | Sterling Pavilion, Ltd. | Skilled Nursing Facility | 105 E 23rd St, Sterling, IL 61081-1212 | 2005-12-28 |
| 1831173400 | Clinton Manor Nursing Home | Skilled Nursing Facility | 18 Dana Hill Rd, Sterling, MA 01564-2414 | 2005-12-06 |
| 1023003167 | Chancellor Health Care of Colorado, LLC | Skilled Nursing Facility | 1330 Sidney Ave, Sterling, CO 80751-2241 | 2005-09-14 |
| 1477559342 | Air Force Retired Officers Community-washington D.c. | Skilled Nursing Facility | 20535 Earhart Pl, Sterling, VA 20165-3581 | 2005-06-24 |
| Find all providers in STERLING | ||||
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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.