Organization Active NPI

Rusk SNF LLC

  • Skilled Nursing Facility
  • Rusk, TX
National Provider Identifier
1144592536
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RUSK SNF LLC
Doing business as
Cherokee Trails Rehab & Healthcare
Practice address
330 Bagley Rd
Rusk, TX 75785-1930
Phone
(817) 607-7400
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Zevi Kohn
Title
Cfo
Phone
(718) 338-2999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

330 Bagley Rd
Rusk, TX 75785-1930

Mailing address

2071 Flatbush Ave
Suite 22
Brooklyn, NY 11234-3523
Phone (718) 338-2999

Other identifiers 1

IdentifierTypeStateIssuer
004304MedicaidTX

Other names 1

  • Cherokee Trails Rehab & Healthcare Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2044052Rusk SNF LLD330 E Bagley Road, Rusk, TX 75785Certificate of waiverJul 16, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1144592536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 FLATBUSH AVE",
            "address_2": "SUITE 22",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343523",
            "telephone_number": "718-338-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BAGLEY RD",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757851930",
            "telephone_number": "817-607-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSK SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "ZEVI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-338-2999"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherokee Trails Rehab & Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rusk, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.