Organization Active NPI

Muscatine Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Muscatine, IA
National Provider Identifier
1205217841
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MUSCATINE NURSING AND REHABILITATION CENTER LLC
Practice address
2002 Cedar St
Muscatine, IA 52761-2612
Phone
(563) 264-2023
Fax
(563) 264-1066
NPI assigned
Jun 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Mr. Ephram M Lahasky
Title
Owner of Greater Than 5 Percent
Phone
(646) 772-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2002 Cedar St
Muscatine, IA 52761-2612

Mailing address

34 Lord Ave
Lawrence, NY 11559-1324
Phone (646) 772-3668

Other names 1

  • Pearl Valley Rehabilitation and Healthcare Center of Muscatine 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": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1205217841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LORD AVE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591324",
            "telephone_number": "646-772-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 CEDAR ST",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612612",
            "telephone_number": "563-264-2023",
            "fax_number": "563-264-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCATINE NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "LAHASKY",
        "authorized_official_first_name": "EPHRAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER OF GREATER THAN 5 PERCENT",
        "authorized_official_telephone_number": "646-772-3668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Valley Rehabilitation and Healthcare Center of Muscatine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.