Lincare Pulmonary Rehab Services of Missouri, LLC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

LINCARE PULMONARY REHAB SERVICES OF MISSOURI, LLC

Practice address

10994 Historic Highway 165
Ste C
Hollister, MO 65672-6234

Phone

(417) 334-1532

NPI assigned

Nov 20, 2012

Organization subpart

No

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

Authorized official

Name

Brian Nannie

Title

Authorized Official

Phone

(727) 530-7700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1174867766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19387 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643102",
            "telephone_number": "727-431-8261",
            "fax_number": "877-408-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10994 HISTORIC HIGHWAY 165",
            "address_2": "STE C",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656726234",
            "telephone_number": "417-334-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCARE PULMONARY REHAB SERVICES OF MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "NANNIE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "727-530-7700"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Practitioner in Hollister, MO
• Providers in Hollister, MO by specialty
• Rehabilitation Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.