Active NPI
Parklane Care and Rehabilitation Center Inc
Doing business as Parklane Care and Rehabilitaton Center Inc
- Skilled Nursing Facility
- Wentzville, MO
National Provider Identifier
1134124241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 030122
- Legal business name
- PARKLANE CARE AND REHABILITATION CENTER INC
- Doing business as
- Parklane Care and Rehabilitaton Center Inc
- Practice address
- 401 Mar Le Dr
Wentzville, MO 63385-1647 - Phone
- (636) 332-9580
- Fax
- (636) 332-5633
- NPI assigned
- Jun 15, 2005
- Last updated
- Mar 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Glynis Wilbert
- Title
- Administrator
- Phone
- (636) 332-9580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 030122 | MO | Primary |
Addresses
Primary practice location
401 Mar Le Dr
Wentzville, MO 63385-1647
Mailing address
401 Mar Le Dr
Wentzville, MO 63385-1647
Phone (636) 332-9580
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101456903 | Medicaid | MO | |
| 177783 | Other | MO | BLUE CROSS BLUE SHIELD |
Other names 1
- PARKLANE CARE AND REHABILITATON CENTER INC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363046400000",
"number": "1134124241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MAR LE DR",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633851647",
"telephone_number": "636-332-9580",
"fax_number": "636-332-5633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MAR LE DR",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633851647",
"telephone_number": "636-332-9580",
"fax_number": "636-332-5633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKLANE CARE AND REHABILITATION CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-15",
"last_updated": "2013-03-12",
"status": "A",
"authorized_official_last_name": "WILBERT",
"authorized_official_first_name": "GLYNIS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "636-332-9580",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "030122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101456903",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "177783",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PARKLANE CARE AND REHABILITATON CENTER INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.