Rushan Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF 9519 Issued in FL

Legal business name

RUSHAN CORPORATION

Practice address

5544 Swanner Rd
Milton, FL 32570-4069

Phone

(850) 623-6550

NPI assigned

Jun 12, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Terry Stacey

Title

Administrator

Phone

(850) 623-6550

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Berryhill Manor Retirement Center Doing business as

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1073773081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5544 SWANNER RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704069",
            "telephone_number": "850-623-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5544 SWANNER RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704069",
            "telephone_number": "850-623-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHAN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "STACEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-623-6550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "ALF 9519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140175100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689445300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678441100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berryhill Manor Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Rowell, D.M.D.
• Jessica C Royce, APRN
• Audrie Ruiz
• Rural Metro of North Florida Inc
• Rural Urgent Care LLC
• Marsha Rushing
• Meagan Elizabeth Rutledge, LPN
• RX Express Pharmacy of Milton Inc
• Sacred Heart Medical Group
• Saad Sakkal, MD

• Assisted Living Facility in Milton, FL
• Providers in Milton, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.