SUNBRIDGE GLENVILLE HEALTH CARE LLC (NPI# 1932156460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932156460 |
| Entity Type | Organization |
| Organization Name | SUNBRIDGE GLENVILLE HEALTH CARE LLC |
| Other Organization Name | GLENVILLE CENTER |
| Practice Address |
111 Fairground Rd Glenville WV 26351-1388 |
| Mailing Address |
101 E State St Compliance Department Kennett Square PA 19348-3109 |
| Practice Telephone | 3044625718 |
| Practice Fax Number | 3044628272 |
| Mailing Telephone | 5054684742 |
| Mailing Fax Number | 5054688742 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | MICHAEL T BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684752 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNBRIDGE CARE ENTERPRISES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 94 | WV | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 94 | WV | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | BCBS | #001703821 | 01 |
| WV | 0004026000 | 05 |
| Other Name | Type Code |
|---|---|
| Glenville Center | Doing Business As Name - Organization |
| Street Address |
111 FAIRGROUND RD |
| City | GLENVILLE |
| State | WV |
| Zip Code | 26351-1388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689225914 | Ilana Rakita | Occupational Therapy Assistant | 111 Fairground Rd, Glenville, WV 26351-1388 | 2019-09-27 |
| 1255722807 | Sarah Whitney Merritt | Occupational Therapy Assistant | 111 Fairground Rd, Glenville, WV 26351-1388 | 2015-02-17 |
| 1730423237 | Stephanie Stalder | Physical Therapy Assistant | 111 Fairground Rd, Glenville, WV 26351-1388 | 2012-11-21 |
| 1588908099 | Maureen Anne Hendry | Occupational Therapist | 111 Fairground Rd, Glenville, WV 26351-1388 | 2012-11-21 |
| 1881858793 | Kelly Marie Jones | Speech-Language Pathologist | 111 Fairground Rd, Glenville, WV 26351-1388 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073059838 | Nineteenth Circuit Community Corrections Program | Community/Behavioral Health | 216 West Main Street, Grafton, WA 26351 | 2017-01-17 |
| 1578841896 | Tana Renee Kevak | Nurse Practitioner | 921 Mineral Rd Ste 101, Glenville, WV 26351 | 2011-08-03 |
| 1881710598 | June Julie Turner | Naturopath | 2607 Duck Run Road, Glenville, WV 26351 | 2007-03-22 |
| 1366479297 | Hilary Dawn Miller | Family Medicine | 604 W Main St, Glenville, WV 26351 | 2006-06-27 |
| 1295770600 | Little Kanawha Family Medicine Pllc | Family Medicine | 604 W Main St, Glenville, WV 26351 | 2006-06-19 |
| 1982707469 | Carl Edwin Nichols | Family Medicine | Gilmer County Urgent Care, 101 College Street, Glenville, WV 26351-0299 | 2006-09-07 |
| 1669548939 | John C Westfall | Dentist | 809 Mineral Rd, Glenville, WV 26351-0700 | 2006-11-28 |
| 1679560361 | Gilmer County Ambulance Service | Ambulance | 230 W Main St, Glenville, WV 26351-1051 | 2005-09-29 |
| 1154799294 | Lasa Bree Mencer | Massage Therapist | 106 E Main St, Glenville, WV 26351-1117 | 2015-09-06 |
| 1285677013 | Mark J Cinalli Od Faao Pllc | Optometrist | 307 Howard St, Glenville, WV 26351-1170 | 2006-06-13 |
| Find all providers in zip 26351 | ||||
| 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 |
|---|---|---|---|---|
| 1437785623 | Ewv Holdings, LLC | Skilled Nursing Facility | 495 Court St, Elizabeth, WV 26143 | 2020-03-19 |
| 1952814428 | Taylor Health Care Center, LLC | Skilled Nursing Facility | 2 Hospital Plaza, Grafton, WV 26354 | 2017-11-07 |
| 1881132389 | Greenbrier Health Care Center, LLC | Skilled Nursing Facility | 1115 Maplewood Ave, Lewisburg, WV 24901-9728 | 2017-02-03 |
| 1578983417 | Cabell Health Care Center, LLC | Skilled Nursing Facility | 240 Capitol St, Suite 500, Charleston, WV 25301-2221 | 2014-04-18 |
| 1023362183 | Genesis | Skilled Nursing Facility | 925 Park Dr, Dunbar, WV 25064-2624 | 2012-10-28 |
| 1033470786 | David Daryl Vaught | Skilled Nursing Facility | Rr 5 Box 108-c, Bridgeport, WV 26330 | 2012-05-30 |
| 1104117761 | Diversicare Rose Terrace, LLC | Skilled Nursing Facility | 30 Hidden Brook Way, Culloden, WV 25510 | 2011-04-29 |
| 1982918470 | Emericare Heritage LLC | Skilled Nursing Facility | Route 4, 17, Bridgeport, WV 26330-9804 | 2010-07-27 |
| 1053542555 | Arbors of Fairmont | Skilled Nursing Facility | 1700 Big Tree Dr Apt 79, Fairmont, WV 26554-8310 | 2009-07-31 |
| 1457535635 | Three Mile Curve Operations LLC | Skilled Nursing Facility | Three Mile Curve, Logan, WV 25600 | 2007-12-24 |
| 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.