Portageville Nursing and Rehabilitation, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PORTAGEVILLE NURSING AND REHABILITATION, LLC

Practice address

290 W State Highway 162
Portageville, MO 63873-9397

Phone

(573) 379-2017

Fax

(573) 379-2753

NPI assigned

Sep 17, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael A Rich

Title

President

Phone

(940) 387-4388

Specialties & licenses 1

Addresses

Tax ID family

Portageville Health Care Center2 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.

• Portageville Health Care Center, L.L.C.

  • Skilled Nursing Facility
  • Portageville, MO
  • NPI 1912453986
  NPD tax ID

Locations

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1336575752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014137",
            "telephone_number": "573-379-2017",
            "fax_number": "573-379-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 W STATE HIGHWAY 162",
            "city": "PORTAGEVILLE",
            "state": "MO",
            "postal_code": "638739397",
            "telephone_number": "573-379-2017",
            "fax_number": "573-379-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGEVILLE NURSING AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-387-4388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missouri Delta Medical Center
• David W Morris
• N & R of Portageville, Inc.
• Pemiscot County Memorial Hospital
• Portageville Health Care Center, L.L.C.
• Portageville School District
• Portageville SNF Opco LLC
• Dennis Reed, PA
• Remember Forever Day Treatment, LLC
• Donald D Rone III, PHARM D

• Skilled Nursing Facility in Portageville, MO
• Providers in Portageville, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.