AMY SNEDEKER (NPI# 1891056750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891056750 |
| Entity Type | Organization |
| Organization Name | AMY SNEDEKER |
| Practice Address |
68181 Neola Avenue Bridgeport OH 43912 |
| Practice Telephone | 7402963099 |
| Mailing Telephone | 7402963099 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |
| Authorized Official Name | AMY SNEDEKER (RN) |
| Authorized Official Telephone | 7402963099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 320595 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3100138 | 05 |
| Street Address |
68181 NEOLA AVENUE |
| City | BRIDGEPORT |
| State | OH |
| Zip Code | 43912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321044 | Linda L Link | Private Vehicle | 53205 Poplar Drive, Stobbs Estates, Bridgeport, OH 43912 | 2020-09-16 |
| 1427604339 | Tammy Sue Cox | Behavior Technician | 68583 Scott Street, Bridgeport, OH 43912 | 2019-08-15 |
| 1790064111 | Tiffanie M Patton | Home Health Aide | 69395 Sunset Heights, Bridgeport, OH 43912 | 2011-08-16 |
| 1841415247 | Doris Ann Newman | Nurse's Aide | 56362 Berkley Avenue, Bridgeport, OH 43912 | 2007-04-13 |
| 1689732778 | Gerald C Booth | Chiropractor | 56104 National Road, Suite 112a, Bridgeport, OH 43912 | 2006-12-04 |
| 1578646808 | Fausto J Lazo | Family Medicine | 55741 National Rd, Bridgeport, OH 43912 | 2006-10-23 |
| 1225144108 | Riesbeck Food Markets, Inc. | Pharmacy | 56130 National Road, Bridgeport, OH 43912 | 2006-08-22 |
| 1487609558 | Keith A Poole | Family Medicine | 55741 National Road, Bridgeport, OH 43912 | 2006-05-24 |
| 1285605329 | Peter Eugene Perzanowski | Chiropractor | 300 Howard St, Ste 2, Bridgeport, OH 43912 | 2006-01-27 |
| 1376191056 | Chad Onifer | Behavior Technician | 68583 Scott Street, Bridgeport, OH 43912 | 2019-08-27 |
| Find all providers in zip 43912 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487068391 | Latter Rain Associates | Intermediate Care Facility, Mental Illness | 1631 Sherrick Rd Se, Canton, OH 44707-3536 | 2014-06-18 |
| 1669538955 | Montgomery Developmental Center | Intermediate Care Facility, Mental Illness | 7650 Timbercrest Dr, Huber Heights, OH 45424-2405 | 2006-12-29 |
| 1801955240 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mental Illness | 9772 Diagonal Road, Mantua, OH 44255 | 2006-12-08 |
| 1932268166 | St. Joseph Infant & Maternity Home | Intermediate Care Facility, Mental Illness | 10722 Wyscarver Rd, Cincinnati, OH 45241-3061 | 2006-12-06 |
| 1306486808 | Hattie Larlham Center for Children With Disabilities | Intermediate Care Facility, Mental Illness | 26405 Tryon Rd, Bedford, OH 44146-5970 | 2020-01-13 |
| 1487294237 | Hattie Larlham Center for Children With Disabilities | Intermediate Care Facility, Mental Illness | 37025 Aurora Rd, Solon, OH 44139-4662 | 2020-01-09 |
| 1508406356 | Hattie Larlham Center for Children With Disabilities | Intermediate Care Facility, Mental Illness | 26365 Tryon Rd, Bedford, OH 44146-5969 | 2020-01-09 |
| 1912409913 | Heritage Healthcare LLC | Intermediate Care Facility, Mental Illness | 24 N Hamilton St, Minster, OH 45865-1117 | 2018-03-06 |
| 1215470935 | North Community Counseling Centers Inc | Intermediate Care Facility, Mental Illness | 4897 Karl Rd, Columbus, OH 43229-5147 | 2016-11-29 |
| 1477923423 | Steven Mates | Intermediate Care Facility, Mental Illness | 7695 Poe Ave, Dayton, OH 45414-2552 | 2015-10-03 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 43912 |
Please comment or provide details below to improve the information on AMY SNEDEKER.
| 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.