Groton Care and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GROTON CARE AND REHABILITATION CENTER LLC

Doing business as

Groton Care and Rehabilitation Center

Practice address

1106 N 2ND St
Groton, SD 57445-2172

Phone

(605) 397-2365

Fax

(605) 397-8644

NPI assigned

Dec 13, 2016

Last updated

Jul 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Schwartz

Title

Manager

Phone

(201) 635-1195

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Groton Care and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500422400000",
    "number": "1033653902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N 2ND ST",
            "city": "GROTON",
            "state": "SD",
            "postal_code": "574452172",
            "telephone_number": "605-397-2365",
            "fax_number": "605-397-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N 2ND ST",
            "city": "GROTON",
            "state": "SD",
            "postal_code": "574452172",
            "telephone_number": "605-397-2365",
            "fax_number": "605-397-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROTON CARE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2017-07-19",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-635-1195"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "435048",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Groton Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Renee Barse, COTA/L
• Chris D Forred, PT
• Lori Louise Giedt, RPH
• Kathleen Jo Groeblinghoff
• Groton Area School District
• Groton Chiropractic Clinic, P.C.
• Groton Community Transit, Inc.
• Groton SD Skilled Nursing Facility LLC (Avantara Groton)
• Joanne Carol Hairy Shirt, CSW-PIP
• Kelli Lynn Hanson, RT

• Skilled Nursing Facility in Groton, SD
• Providers in Groton, SD by specialty
• Skilled Nursing Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.