Terrace on the Park, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TERRACE ON THE PARK, LLC

Practice address

901 N 10TH St
Mascoutah, IL 62258-1017

Phone

(618) 566-2183

Fax

(618) 566-4462

NPI assigned

Sep 1, 2011

Organization subpart

No

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

Authorized official

Name

Moshe David Aryeh

Title

Member/Manager

Phone

(847) 440-2233

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1386925535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N 10TH ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622581017",
            "telephone_number": "618-566-2183",
            "fax_number": "618-566-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N 10TH ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622581017",
            "telephone_number": "618-566-2183",
            "fax_number": "618-566-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACE ON THE PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "ARYEH",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "847-440-2233"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.