University Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

UNIVERSITY CARE CENTER, LLC

Doing business as

University Nursing & Rehabilitation Center

Practice address

1095 University Dr
Edwardsville, IL 62025-3961

Phone

(618) 656-1081

NPI assigned

Jan 12, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Makhlouf Suissa

Title

Manager/Member of LLC

Phone

(917) 744-8688

Specialties & licenses 1

Addresses

Other names 1

• University Nursing & Rehabilitation Center Doing business as

Locations

Networks

• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1023526035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BRENTWOOD BLVD STE 475",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441437",
            "telephone_number": "314-963-7570",
            "fax_number": "314-963-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 UNIVERSITY DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253961",
            "telephone_number": "618-656-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "SUISSA",
        "authorized_official_first_name": "MAKHLOUF",
        "authorized_official_title_or_position": "MANAGER/MEMBER OF LLC",
        "authorized_official_telephone_number": "917-744-8688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Maria Tucker, BT
• Jason John Tupper, BDS
• Kelechi Uche Uduma
• Natalia Ummel
• Jamie L Unger, SSP
• Maria Rose Vahling
• Rachel Ann Van Deven, OTR/L
• Natalie Ann Vandorn, OTR/L
• Miranda Jean Vanzandt, RN
• Haylee Elizabeth Vaughn, BEHAVIOR TECHNICIAN

• Skilled Nursing Facility in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.