Forest Hill Health & Rehab Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0042309 Issued in IL

Legal business name

FOREST HILL HEALTH & REHAB CENTER INC

Practice address

4747 11TH St
East Moline, IL 61244-4404

Phone

(309) 796-0922

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Michael Lerner

Title

President

Phone

(773) 279-9420

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1124009873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 11TH ST",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444404",
            "telephone_number": "309-796-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 11TH ST",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444404",
            "telephone_number": "309-796-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILL HEALTH & REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-279-9420"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0042309",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0042309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0042309",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in East Moline, IL
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.