Organization Active NPI

Oregon Living & Rehabilitation Center

  • Oxygen Equipment & Supplies (DME)
  • Oregon, IL
National Provider Identifier
1356609978
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0051607 Issued in IL
Legal business name
OREGON LIVING & REHABILITATION CENTER
Practice address
811 S 10TH St
Oregon, IL 61061-2129
Phone
(815) 732-7994
Fax
(815) 732-7998
NPI assigned
May 2, 2012
Last updated
May 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Moshe Herman
Title
Member
Phone
(847) 982-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 0051607 IL Primary

Addresses

Primary practice location

811 S 10TH St
Oregon, IL 61061-2129

Mailing address

811 S 10TH St
Oregon, IL 61061-2129
Phone (815) 732-7994

National Provider Directory

National Provider Directory
Tax ID family
Oregon Living Rehabilitation 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.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1356609978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S 10TH ST",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610612129",
            "telephone_number": "815-732-7994",
            "fax_number": "815-732-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S 10TH ST",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610612129",
            "telephone_number": "815-732-7994",
            "fax_number": "815-732-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON LIVING & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-982-2300"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "0051607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.