Rockford Nursing & Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1932251 Issued in IL

Legal business name

ROCKFORD NURSING & REHABILITATION CENTER, LLC

Practice address

1920 N Main St
Rockford, IL 61103-4708

Phone

(815) 964-6834

Fax

(815) 968-0796

NPI assigned

Jun 3, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Yosef Meystel

Title

Manager

Phone

(847) 673-6767

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1184850208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 HOWARD ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764012",
            "telephone_number": "847-673-6767",
            "fax_number": "847-673-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611034708",
            "telephone_number": "815-964-6834",
            "fax_number": "815-968-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD NURSING & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "MEYSTEL",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-673-6767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1932251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Rockford, IL
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• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.