Phillipsburg Snf Opco LLC · Skilled Nursing Facility

100 Dogwood Dr, Philipsburg, PA 16866-1982

Overview

Phillipsburg Snf Opco LLC is a Skilled Nursing Facility (organization) practicing in Philipsburg, Pennsylvania. The National Provider Identifier (NPI) is #1003636069, which was assigned on October 15, 2024, and the registration record was last updated on September 10, 2025. The practitioner's main practice location is at 100 Dogwood Dr, Philipsburg, PA 16866-1982; the contact telephone number is 8143428400. The primary taxonomy of Phillipsburg Snf Opco LLC is Skilled Nursing Facility (314000000X). The authorized official for Phillipsburg Snf Opco LLC is Mr. Daniel Mandelbaum (Cfo).

(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.

Provider Information

NPI 1003636069
Entity Type Organization
Organization Name PHILLIPSBURG SNF OPCO LLC
Provider Name PHILLIPSBURG SNF OPCO LLC
Practice Address 100 Dogwood Dr
Philipsburg
PA 16866-1982
Practice Telephone 8143428400
Mailing Address 180 Sylvan Ave Ste 202
Englewood Cliffs
NJ 07632-2512
Mailing Telephone 7185706018
Certification Date 2025-09-10
Enumeration Date 2024-10-15
Last Update Date 2025-09-10
Is Organization Subpart N

Authorized Official Information

Official Name MR. DANIEL MANDELBAUM
Official Title CFO
Credential CPA
Telephone 7185706018

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y314000000XSkilled Nursing Facility

Other Provider Names

Other Organization NameType
Heritage Ridge Senior Living at Windy HillDoing Business As Name

Taxonomy Information

Primary Taxonomy

Code 314000000X
Taxonomy Skilled Nursing Facility
Classification Skilled Nursing Facility
Grouping Nursing & Custodial Care Facilities
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 with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
North Platte Opco LLC 510 Centennial Cir, North Platte, NE 69101-6586Skilled Nursing Facility2025-11-04
Mcmurray Hills Rehabilitation and Healthcare Center LLC 249 W Mcmurray Rd, Mc Murray, PA 15317-2468Skilled Nursing Facility2025-11-06
Mt Washington Nursing LLC 6900 Beechmont Ave, Cincinnati, OH 45230-2910Skilled Nursing Facility2025-11-06
Darway Rehabilitation and Healthcare Center LLC 5865 Route 154, Forksville, PA 18616-8912Skilled Nursing Facility2025-11-06
Northrise Wellness & Rehabilitation LLC 2884 N Roadrunner Pkwy, Las Cruces, NM 88011-0853Skilled Nursing Facility2025-11-05
Fostoria Snf Opco LLC 1000 Independence Ave, Fostoria, OH 44830-9614Skilled Nursing Facility2025-11-04
Ellen Memorial Rehabilitation and Healthcare Center LLC 23 Ellen Memorial Ln, Honesdale, PA 18431-4096Skilled Nursing Facility2025-11-06
Progressive Stow LLC 4249 Kent Road, Stow, OH 44224Skilled Nursing Facility2025-11-07
Gretna Opco LLC 700 S Highway 6, Gretna, NE 68028-7970Skilled Nursing Facility2025-11-04
Willow Nursing LLC 9625 Market St, North Lima, OH 44452-8564Skilled Nursing Facility2025-11-06
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Location Information

Street Address 100 DOGWOOD DR
City PHILIPSBURG
State PA
Zip Code 16866-1982
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Danielle Jean Stillarty 100 Dogwood Dr, Philipsburg, PA 16866-1982Speech-Language Pathologist2020-04-14
Hannah Puit · Hannah Drass 100 Dogwood Dr, Philipsburg, PA 16866-1982Speech-Language Pathologist2021-01-29

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Mid State Medical Inc 601 N Front St, Philipsburg, PA 16866-2303Family Medicine Physician2007-01-25
Lauren Rebecca Zajac · Lauren Rebecca Feldsott 210 Medical Center Dr, Philipsburg, PA 16866-1948Physician Assistant2006-03-08
Douglas May Jr. 271 Railroad St, Philipsburg, PA 16866-2300Family Medicine Physician2018-06-05
Pauline E Stout 580 Old Route 322, Philipsburg, PA 16866Mental Health Counselor2007-03-22
Brittany Jane Slother · Brittany Jane Dickson 200 Short St, Philipsburg, PA 16866-2640Occupational Therapy Assistant2025-04-15
Central Intermediate Unit # 10 200 Shady Ln Ste 120, Philipsburg, PA 16866-1985Early Intervention Provider Agency2010-02-26
Cen Clear Child Services Inc 1633 Philipsburg Bigler Hwy, Philipsburg, PA 16866-8112Physical Therapist2007-05-22
Macey Elizabeth Frank 271 Railroad St, Philipsburg, PA 16866-2300Family Nurse Practitioner2025-10-28
Paige Alyssa Rupp 271 Railroad St, Philipsburg, PA 16866-2300Family Nurse Practitioner2025-09-02
Central Intermediate Unit 200 Shady Ln Ste 120, Philipsburg, PA 16866-1985Local Education Agency (LEA)2006-05-02
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.