N/A


Address: 3108 Island Ct, Jeffersonville, IN 47130-8058
Phone: 8126971016

N/A (NPI# 1871868927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871868927
Entity Type Organization
Organization Name N/A
Practice Address 3108 Island Ct
Jeffersonville
IN 47130-8058
Practice Telephone 8126971016
Mailing Telephone 8126971016
Enumeration Date 2012-03-21
Last Update Date 2012-03-21
Authorized Official Name TAMMY GAYLE BERRY (RN)
Authorized Official Telephone 8126971016
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 1106110 KY Nursing & Custodial Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1811428980 N/a Nurse Practitioner 6045 Sw 162nd Ave, Miami, FL 33193-5805 2017-03-21
1346783776 N/a Exclusive Provider Organization Av. Tecnologico 183, Nuevo Laredo, TAMAULIPAS 88275 2016-12-03
1871953216 N/a Community/Behavioral Health 1203 Saint Lawrence Ave, Beloit, WI 53511-5067 2016-02-27
1205207511 N/a Home Health 3051 Elyria Ave, Lorain, OH 44055-1449 2015-10-13
1245652247 N/a Home Health 2261 S Sherman Cir, Apt. A204, Miramar, FL 33025-2294 2014-01-09
1801163118 N/a Registered Nurse 29078 Providence Rd, Temecula, CA 92591-5597 2011-11-30
1871888388 N/a Assisted Living Facility 2998 W Mcmicken Ave # 1, Cincinnati, OH 45225-2362 2011-06-13
1861782898 N/a Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1318 Pennsylvania Ave, Saint Louis, MO 63133-1036 2011-04-11
1194055749 N/a Community/Behavioral Health 4051 Lone Tree Way Ste C, Antioch, CA 94531-6204 2010-01-04
1134676588 N/a Clinic/Center 25 Fanning St, Staten Island, NY 10314-5307 2016-09-01

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities N/A 3117 Apple Rd Ne, Washington, DC 20018-1605
Colorado Business Entities n/a 4165 Plum Creek Mdws Rd., Sedalia, CO 80135
Washington State Corporations N/A CEDAR HEIGHTS-52, A WASHINGTON LIMITED PARTNERSHIP 999 3rd Ave #1900, Seattle, WA 98104
Oregon Corporations, Companies and Business Names N/A COLONNADE-83, LIMITED PARTNERSHIP 920 Garden St Ste A, Santa Barbara, CA 93101
Colorado Business Entities N/A Courtney Downs-89, L.P. 920 Garden Street, Suite A, Santa Barbara, CA 93101
System for Award Management (SAM) Entities N/A INDIVIDUAL 900 N. Lake Shore Drive Apt 402, Chicago, IL 60611-1596
Colorado Business Entities N/A Lambertson Farms-86, L.P. 920 Garden St Ste A, Santa Barbara, CA 93101-7465
Washington State Corporations N/A MARINERS' GLEN-68, LP 920 Garden St, Santa Barbara, CA 93101
Washington State Corporations N/A MILL PLAIN-84, L.P. 920 Garden St, Santa Barbara, CA 93101
Colorado Business Entities N/A TRANSPORTATION LLC 414 Southridge Rd Apt B204, Fort Morgan, CO 80701-2211

Office Location

Street Address 3108 ISLAND CT
City JEFFERSONVILLE
State IN
Zip Code 47130-8058

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033476171 Tammy Gayle Berry Registered Nurse 3108 Island Ct, Jeffersonville, IN 47130-8058 2012-04-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972124717 Jeffersonville Commons Dental Dentist 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 2020-05-04
1467099978 Mercury Ambulance Service Inc Ambulance 623 Crestview Court, Jeffersonville, IN 47130 2019-12-03
1427514710 Conn Hearing Aid Center LLC Hearing Instrument Specialist 1516 Spring Street, Jeffersonville, IN 47130 2019-02-12
1619446127 Wellness for Life Clinic/Center 1 Pirate Pl, Charlestown, IN 47130 2018-11-14
1083199939 Stephanie Allen LLC Dentist 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 2018-09-26
1679068332 Personal Choice Inc Day Training, Developmentally Disabled Services 3114 Clear Stream Wat, Jeffersonville, IN 47130 2018-06-26
1417454638 Jason Allen Social Worker 101 Noahs Ln, Jeffersonville, IN 47130 2018-04-13
1508374299 Kelsey Petty Social Worker 101 Noahs Lane, Jeffersonville, IN 47130 2018-01-16
1336658095 Jenkins Podiatry PC Podiatrist 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 2017-09-26
1831618602 Alyssa Marie Elliott Physical Therapist 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 2017-09-13
Find all providers in zip 47130

Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356687560 Jeffersonville Healthcare & Rehab, LLC Skilled Nursing Facility 113 Spring Valley Rd, Jeffersonville, GA 31044-3917 2012-12-14
1053463786 Adk Jeffersonville Operator, LLC Skilled Nursing Facility 113 Spring Valley Drive, Jeffersonville, GA 31044-9301 2007-01-16
1538224381 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 203 Sparks Ave, Jeffersonville, IN 47130 2006-12-22
1699710186 Mlb Jeffersonville Health Facilities, Inc Skilled Nursing Facility 1720 E 8th St, Jeffersonville, IN 47130-4659 2006-06-18
1932657616 Jv Jeffersonville LLC Skilled Nursing Facility 113 Spring Valley Rd, Jeffersonville, GA 31044-3917 2016-09-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023618956 Empowerme Rehabilitation Illinois, LLC Skilled Nursing Facility 3203 E Moores Pike, Bloomington, IN 47401-7122 2020-10-29
1629698808 Decatur County Memorial Hospital Skilled Nursing Facility 6712 Restoracy Drive, Whitestown, IN 46075-0089 2020-04-17
1922586510 Aperion Care Marion LLC Skilled Nursing Facility 614 W 14th St, Marion, IN 46953-2158 2018-08-06
1427548270 Vibra Rehabilitation Hospital of Southern Indiana, LLC Skilled Nursing Facility 3104 Blackiston Boulevard, New Albany, IN 47150-9579 2018-05-17
1952812034 Blue Diamond Villas Skilled Nursing Facility 1510 Sandpiper Lane, Goshen, IN 46526 2017-10-17
1366974404 Mika Riddle Skilled Nursing Facility 407 W Walnut St, Van Buren, IN 46991 2017-03-29
1245787076 Sara Steffe Skilled Nursing Facility 1015 Virginia St, Ferdinand, IN 47532-9285 2016-09-09
1770030504 Valerie Burdette Skilled Nursing Facility 1872 E County Road 825 S, Oakland City, IN 47660-8911 2016-09-09
1205286507 Christina Basham Skilled Nursing Facility 710 Bluffview Dr, Angola, IN 46703-2206 2016-06-16
1164878583 Good Samaritan Hospital Skilled Nursing Facility 811 E. Baseline Road, Evansville, IN 47725-9340 2016-05-05
Find all providers with the same taxonomy

Competitor

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City JEFFERSONVILLE
Zip Code 47130

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Dataset Information

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.

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