NPIMap

Organization Active NPI

Reliant Care Rehabilitative Services

  • Assisted Living Facility (Behavioral Disturbances)
  • Hannibal, MO
National Provider Identifier
1376804476
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
2009003503 Issued in MO
Legal business name
RELIANT CARE REHABILITATIVE SERVICES
Practice address
1734 Market St
Hannibal, MO 63401-4025
Phone
(573) 629-0321
NPI assigned
Jun 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Mrs. Amanda Janes Janes, PTA
Title
Pta /Program Coordinator
Phone
(573) 406-8308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X 2009003503 MO Primary

Addresses

Primary practice location

1734 Market St
Hannibal, MO 63401-4025

Mailing address

2 Forest Hills Rd
Hannibal, MO 63401-3072
Phone (573) 406-8308

National Provider Directory

National Provider Directory
Tax ID family
Creative Health Solutions9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1376804476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FOREST HILLS RD",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013072",
            "telephone_number": "573-406-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 MARKET ST",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634014025",
            "telephone_number": "573-629-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT CARE REHABILITATIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "JANES",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JANES",
        "authorized_official_title_or_position": "PTA /PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "573-406-8308",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "MO",
            "license": "2009003503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, MO

Sources for this page

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