Organization Active NPI

Moc Chandler, LLC

Doing business as Rapid Recovery From Mainstreet Health

  • Skilled Nursing Facility
  • Chandler, AZ
National Provider Identifier
1053833038
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MOC CHANDLER, LLC
Doing business as
Rapid Recovery From Mainstreet Health
Rapid Recovery by Mainstreet Health
Practice address
3033 South Arizona Ave.
Chandler, AZ 85248
Phone
(317) 689-2157
NPI assigned
Jul 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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

Authorized official

Name
Paul Ezekiel Turner
Title
Ceo
Phone
(317) 582-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3033 South Arizona Ave.
Chandler, AZ 85248

Mailing address

14390 Clay Terrace Blvd Ste 205
Carmel, IN 46032-3669
Phone (317) 582-6961

Other names 2

  • Rapid Recovery From Mainstreet Health Doing business as
  • Rapid Recovery by Mainstreet Health Doing business as

National Provider Directory

National Provider Directory

Locations

14390 Clay Terrace Blvd
Ste 205
Carmel, IN 46032

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1053833038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14390 CLAY TERRACE BLVD STE 205",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323669",
            "telephone_number": "317-582-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 SOUTH ARIZONA AVE.",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85248",
            "telephone_number": "317-689-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOC CHANDLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EZEKIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-582-6200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rapid Recovery From Mainstreet Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rapid Recovery by Mainstreet Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.