Organization Active NPI

Rehabcare

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1114126232
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
116873 Issued in MO
Legal business name
REHABCARE
Practice address
10600 Lewis and Clark Blvd
Saint Louis, MO 63136-6005
Phone
(314) 340-6389
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Ms. Priscilla Lee Gant, PTA
Title
Pta
Phone
(314) 340-6389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 116873 MO Primary

Addresses

Primary practice location

10600 Lewis and Clark Blvd
Saint Louis, MO 63136-6005

Mailing address

1982 Cathedral Hill Dr
Saint Louis, MO 63138-1520
Phone (314) 355-9430

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1114126232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1982 CATHEDRAL HILL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381520",
            "telephone_number": "314-355-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 LEWIS AND CLARK BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366005",
            "telephone_number": "314-340-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "GANT",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "314-340-6389",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "116873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.