NPIMap

Organization Active NPI

Regional Care of Hermitage, LLC

Doing business as Christian Health and Rehabilitation of Hermitage

  • Skilled Nursing Facility
  • Hermitage, MO
National Provider Identifier
1285930149
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
037108 Issued in MO
Legal business name
REGIONAL CARE OF HERMITAGE, LLC
Doing business as
Christian Health and Rehabilitation of Hermitage
Practice address
Hwy 54 & 1St Street
Hermitage, MO 65668-0325
Phone
(417) 745-2111
Fax
(417) 745-2211
NPI assigned
Feb 9, 2011
Last updated
Nov 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Authorized official

Name
Mr. Phillip Cody Long
Title
Cfo
Phone
(479) 464-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 037108 MO Primary

Addresses

Primary practice location

Hwy 54 & 1St Street
Hermitage, MO 65668-0325

Mailing address

Hwy 54 & 1St Street
Hermitage, MO 65668-0325
Phone (417) 745-2111

Other names 1

  • Christian Health and Rehabilitation of Hermitage Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christian Health and Rehabilitation of Hermitage2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1285930149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HWY 54 & 1ST STREET",
            "city": "HERMITAGE",
            "state": "MO",
            "postal_code": "656680325",
            "telephone_number": "417-745-2111",
            "fax_number": "417-745-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 54 & 1ST STREET",
            "city": "HERMITAGE",
            "state": "MO",
            "postal_code": "656680325",
            "telephone_number": "417-745-2111",
            "fax_number": "417-745-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL CARE OF HERMITAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "479-464-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "037108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Health and Rehabilitation of Hermitage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hermitage, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.