HEALTH CARE AND RETIREMENT CORPORATION OF AMERICA LLC (NPI# 1962447037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962447037 |
| Entity Type | Organization |
| Organization Name | HEALTH CARE AND RETIREMENT CORPORATION OF AMERICA LLC |
| Other Organization Name | HEARTLAND OF CHARLESTON |
| Practice Address |
3819 Chesterfield Ave Charleston WV 25304-2647 |
| Mailing Address |
333 N Summit St Attn: Barry Lazarus Toledo OH 43604-1531 |
| Practice Telephone | 3049254771 |
| Practice Fax Number | 3049251343 |
| Mailing Telephone | 4192525541 |
| Mailing Fax Number | 4192525548 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-01-31 |
| Authorized Official Name | MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS) |
| Authorized Official Telephone | 4192525541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 65 | WV | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0003744002 | 05 |
| Other Name | Type Code |
|---|---|
| Heartland of Charleston | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851330732 | Health Care and Retirement Corporation of America LLC | Skilled Nursing Facility | 6800 W Maple Rd, West Bloomfield, MI 48322-2792 | 2006-06-06 |
| 1225084239 | Health Care and Retirement Corporation of America LLC | Skilled Nursing Facility | 535 N 17th St, Allentown, PA 18104-5016 | 2006-05-25 |
| 1811488562 | Health Care and Retirement Corporation of America LLC | Internal Medicine | 5511 Swift Rd, Sarasota, FL 34231-6209 | 2018-05-29 |
| Street Address |
3819 CHESTERFIELD AVE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-2647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649899261 | Taylor Hartleben | Nurse Practitioner | 3819 Chesterfield Ave, Charleston, WV 25304-2647 | 2020-04-14 |
| 1427464148 | Heather Dawn Petry | Nurse Practitioner | 3819 Chesterfield Ave, Charleston, WV 25304-2647 | 2014-07-02 |
| 1972936482 | Eastbrook Center LLC | Nursing Facility/Intermediate Care Facility | 3819 Chesterfield Ave, Charleston, WV 25304-2647 | 2013-08-20 |
| 1588961130 | Wvupc Heartland of Charleston | Nursing Facility/Intermediate Care Facility | 3819 Chesterfield Ave, Charleston, WV 25304-2647 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| 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 |
|---|---|---|---|---|
| 1972018026 | Wellmore of Daniel Island LLC | Skilled Nursing Facility | 580 Robert Daniel Drive, Charleston, SC 29492 | 2017-12-12 |
| 1578983417 | Cabell Health Care Center, LLC | Skilled Nursing Facility | 240 Capitol St, Suite 500, Charleston, WV 25301-2221 | 2014-04-18 |
| 1598890519 | White Oak Manor Inc | Skilled Nursing Facility | 9285 Medical Plaza Dr, Charleston, SC 29406-9126 | 2007-02-22 |
| 1326135500 | Thi of South Carolina At Charleston, LLC | Skilled Nursing Facility | 2375 Baker Hospital Blvd, Charleston, SC 29405-8233 | 2006-10-07 |
| 1003851940 | West Ashley Rehabilitation and Nursing Center-charleston Sc LLC | Skilled Nursing Facility | 1137 Sam Rittenberg Blvd, Charleston, SC 29407-3360 | 2006-06-17 |
| 1306887344 | Hr of Charleston, Inc. | Skilled Nursing Facility | 1000 Association Dr, North Gate Business Park, Charleston, WV 25311-1270 | 2006-06-09 |
| 1639126436 | Hilltop Nursing Home, Inc | Skilled Nursing Facility | 910 W Polk Ave, Charleston, IL 61920-1707 | 2006-05-27 |
| 1437116290 | Trinity Mission of Charleston, LLC | Skilled Nursing Facility | 2230 Ashley Crossing Dr, Charleston, SC 29414-5700 | 2006-04-26 |
| 1013978675 | Prairie View Care Center of Charleston, Inc. | Skilled Nursing Facility | 716 18th St, Charleston, IL 61920-2382 | 2006-03-31 |
| 1396729869 | Harrell Nursing Home | Skilled Nursing Facility | 2149 Greenbrier St, Charleston, WV 25311-9623 | 2005-11-30 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
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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.