NPIMap

Organization Active NPI

Anberry Physical Rehabilitation Center, Inc

  • Long Term Care Hospital
  • Atwater, CA
National Provider Identifier
1194848879
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
040000070 Issued in CA
Legal business name
ANBERRY PHYSICAL REHABILITATION CENTER, INC
Practice address
1675 Shaffer Rd
Atwater, CA 95301-4456
Phone
(209) 357-3420
Fax
(209) 357-0904
NPI assigned
Apr 9, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dave Kuhls
Title
Administrator
Phone
(209) 357-3420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 040000070 CA Primary

Addresses

Primary practice location

1675 Shaffer Rd
Atwater, CA 95301-4456

Mailing address

1685 Shaffer Rd
Atwater, CA 95301-4456
Phone (209) 357-3420

Other identifiers 1

IdentifierTypeStateIssuer
LTC55244HMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Anberry Physical Rehabilitation Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1194848879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 SHAFFER RD",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953014456",
            "telephone_number": "209-357-3420",
            "fax_number": "209-357-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 SHAFFER RD",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953014456",
            "telephone_number": "209-357-3420",
            "fax_number": "209-357-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANBERRY PHYSICAL REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KUHLS",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "209-357-3420"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CA",
            "license": "040000070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55244H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.