MONROE NURSING HOME INC (NPI# 1972518611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972518611 |
| Entity Type | Organization |
| Organization Name | MONROE NURSING HOME INC |
| Other Organization Name | PARK PLACE NURSING FACILITY |
| Practice Address |
1865 Bold Springs Rd Nw Monroe GA 30656-4605 |
| Practice Telephone | 7702678677 |
| Practice Fax Number | 7702677831 |
| Mailing Telephone | 7702678677 |
| Mailing Fax Number | 7702677831 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2015-04-02 |
| Authorized Official Name | MR. E KENNETH MURRAY JR. (ADMINISTRATOR) |
| Authorized Official Telephone | 7702678677 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 11471218 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00002164A | 05 |
| Other Name | Type Code |
|---|---|
| Park Place Nursing Facility | Doing Business As Name - Organization |
| Street Address |
1865 BOLD SPRINGS RD NW |
| City | MONROE |
| State | GA |
| Zip Code | 30656-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680652 | Nursing Home Pharmacy LLC | Pharmacy | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2005-06-24 |
| 1700359973 | Juliet Eziafa Olele | Occupational Therapist | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2019-01-09 |
| 1740732163 | James Townsend Merwin Iv | Physical Therapist | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2016-11-02 |
| 1356893705 | Deasia Monique Mcmillan | Occupational Therapy Assistant | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2016-11-02 |
| 1366991580 | Tyler Pyles | Physical Therapist | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2016-09-29 |
| 1275087363 | Jamie Jenkins | Physical Therapy Assistant | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2016-08-07 |
| 1376096081 | Yun Lee | Occupational Therapy Assistant | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2016-07-28 |
| 1780056622 | Trent Gabriel | Physical Therapy Assistant | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2015-10-29 |
| 1942600226 | Keri Mooney | Speech-Language Pathologist | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2014-08-24 |
| 1174965768 | Lauren Mcneely | Physical Therapy Assistant | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2013-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679087274 | Misty Sue's Adult Day Health Center LLC | Clinic/Center | 517 Hill St, Monroe, GA 30656-1507 | 2017-11-20 |
| 1285022186 | Frances Campbell | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2773 Oakmont Way, Monroe, GA 30656-2702 | 2014-12-30 |
| 1750536819 | Magnolia Blooms PCh,llc | Clinic/Center | 1250 Nicholsville Rd Nw, Monroe, GA 30656-3469 | 2008-11-17 |
| 1821492034 | Elizabeth Smith | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1227 Dale Dr, Monroe, GA 30656-3500 | 2014-10-17 |
| 1851868293 | Lusi Yang | Chiropractor | 2311 Shockley Rd Nw, Monroe, GA 30656-3677 | 2018-10-24 |
| 1578733291 | Guldmann Southeast | Durable Medical Equipment & Medical Supplies | 2040 Mount Vernon Rd Nw, Monroe, GA 30656-4360 | 2008-03-10 |
| 1295775955 | Susan Gerald Cook | Physical Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2006-06-08 |
| 1871732040 | Natalie H Grooms | Occupational Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2009-02-11 |
| 1881770949 | Mary Hinch | Physical Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2006-10-31 |
| 1326120932 | Activekidz and Adult Therapy Services | Physical Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2006-10-20 |
| Find all providers in zip 30656 | ||||
| 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 |
|---|---|---|---|---|
| 1992106348 | The Heritage of Union County, LLC | Skilled Nursing Facility | 3510 W Highway 74, Monroe, NC 28110-8441 | 2014-09-04 |
| 1245514546 | Riverside Nursing Home, LLC | Skilled Nursing Facility | 7950 Millhaven Road, Monroe, LA 71203-9008 | 2011-10-05 |
| 1295990836 | Marci Gail Milne | Skilled Nursing Facility | 3006 Dewdrop Ct, Monroe, NC 28110-6346 | 2008-07-23 |
| 1821265638 | Ida Lyn Stevenson | Skilled Nursing Facility | 2903 13th St, Monroe, WI 53566-2245 | 2008-05-12 |
| 1467657304 | Northeast Louisana Veterans Home | Skilled Nursing Facility | 6700 Highway 165 N, Monroe, LA 71203-8753 | 2007-06-20 |
| 1023180734 | Extendicare Health Facilities, Inc. | Skilled Nursing Facility | 516 26th Ave, Monroe, WI 53566-1531 | 2006-11-15 |
| 1033207121 | Management Company Inc | Skilled Nursing Facility | 4201 S Grand St, Monroe, LA 71202-6319 | 2006-10-11 |
| 1801996210 | Promedica Monroe Skilled Nursing and Rehab | Skilled Nursing Facility | 700 Stewart Rd, Monroe, MI 48162-5304 | 2006-09-25 |
| 1396754750 | Avalon Place, Lp | Skilled Nursing Facility | 4385 Old Sterlington Rd, Monroe, LA 71203-2360 | 2006-08-05 |
| 1912931254 | Woodlawn Manor, Inc. | Skilled Nursing Facility | 1000 Mckeen Pl, Monroe, LA 71201 | 2006-07-11 |
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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.