Ipswich Care and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IPSWICH CARE AND REHABILITATION CENTER LLC

Doing business as

Ipswich Care and Rehabilitation Center

Practice address

617 Bloemendaal Dr
Ipswich, SD 57451-0000

Phone

(605) 426-6622

Fax

(605) 426-6565

NPI assigned

Dec 19, 2016

Last updated

Jul 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Schwartz

Title

Manager

Phone

(201) 635-1195

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ipswich Care and Rehabilitation Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracy L Artz, PTA

  • Physical Therapy Assistant
  • Ipswich, SD
  • NPI 1811189376
  NPD (past)

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500422400000",
    "number": "1205370798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "IPSWICH",
            "state": "SD",
            "postal_code": "574510728",
            "telephone_number": "605-426-6622",
            "fax_number": "605-426-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 BLOEMENDAAL DR",
            "city": "IPSWICH",
            "state": "SD",
            "postal_code": "574510000",
            "telephone_number": "605-426-6622",
            "fax_number": "605-426-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPSWICH CARE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2017-07-19",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-635-1195"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "435055",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ipswich Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenae Barnhart
• City of Ipswich
• Crissman Drug
• Eureka Pharmacy & Gift Shoppe Inc (Vilas Pharmacy)
• Lacey Lynn Galbraith, PT
• Ipswich Public School District #22-6
• Ipswich SD Skilled Nursing Facility LLC (Avantara Ipswich)
• Melissa Ann Jorgenson, PTA
• Kadlec (Active Care Chiropractic)
• Nathan Kadlec, DC

• Skilled Nursing Facility in Ipswich, SD
• Providers in Ipswich, SD by specialty
• Skilled Nursing Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.