Reliant Care Rehabilitative Services

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

116138 Issued in MO

Legal business name

RELIANT CARE REHABILITATIVE SERVICES

Practice address

411 Robert Ave
Ferguson, MO 63135-3526

Phone

(314) 524-6191

NPI assigned

Sep 18, 2012

Last updated

Sep 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Susan Pernell, LPTANPI 1861743817

Title

Lpta

Phone

(314) 524-6191

Specialties & licenses 1

Addresses

Tax ID family

Reliant Care Rehabilitation Services2 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.

• Reliant Care Rehabilitation Services

  • Skilled Nursing Facility
  • Columbia, MO
  • NPI 1336497833
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Susan Pernell, LPTA

  • Physical Therapy Assistant
  • Columbia, MO
  • NPI 1861743817
  NPD (past) Authorized official

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1376893297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 ROBERT AVE",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631353526",
            "telephone_number": "314-524-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ROBERT AVE",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631353526",
            "telephone_number": "314-524-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT CARE REHABILITATIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "PERNELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "LPTA",
        "authorized_official_telephone_number": "314-524-6191",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPTA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MO",
            "license": "116138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Picture Perfect Physical & Occupational Therapy, LLC
• Abigail Catherine Poindexter, SLP
• Premier Dialysis of Ferguson
• Amy Prinster, ATC, LAT
• Kimberly Michelle Ragland, PHARMD
• Reliant Consumer Directed Services, Inc
• Rinderer's Drug Store #8
• Rising Star Home Health Care LLC (Rising Star At Home Care LLC)
• Tayler Alexis Robins, CVD
• Laquisha S Robinson, FNP-C

• Nursing Facility/Intermediate Care Facility in Ferguson, MO
• Providers in Ferguson, MO by specialty
• Nursing Facility/Intermediate Care Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.