Organization Active NPI

Toledo Retirement & Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Zwolle, LA
National Provider Identifier
1235112657
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
471 Issued in LA
Legal business name
TOLEDO RETIREMENT & REHABILITATION CENTER, LLC
Practice address
1009 Obrie St
Zwolle, LA 71486-2510
Phone
(318) 645-2800
Fax
(318) 645-2645
NPI assigned
Nov 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Mr. Jack Sanders
Title
Managing Members
Phone
(318) 590-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 471 LA Primary

Addresses

Primary practice location

1009 Obrie St
Zwolle, LA 71486-2510

Mailing address

PO Box 1009
Zwolle, LA 71486-1009
Phone (318) 645-2800

Other identifiers 1

IdentifierTypeStateIssuer
1518042MedicaidLA

Other names 1

  • Toledo Nursing Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0672814Toledo Nursing Center1009 North Obrie, Zwolle, LA 71486Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1235112657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1009",
            "city": "ZWOLLE",
            "state": "LA",
            "postal_code": "714861009",
            "telephone_number": "318-645-2800",
            "fax_number": "318-645-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 OBRIE ST",
            "city": "ZWOLLE",
            "state": "LA",
            "postal_code": "714862510",
            "telephone_number": "318-645-2800",
            "fax_number": "318-645-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLEDO RETIREMENT & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MANAGING MEMBERS",
        "authorized_official_telephone_number": "318-590-0007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518042",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toledo Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Toledo Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zwolle, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.