Organization 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
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030122 Issued in MO
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101456903MedicaidMO
177783OtherMOBLUE CROSS BLUE SHIELD

Other names 1

  • PARKLANE CARE AND REHABILITATON CENTER INC Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.