Paxton Healthcare and Reahb, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

53272 Issued in IL

Legal business name

PAXTON HEALTHCARE AND REAHB, LLC

Practice address

1240 N Market St
Paxton, IL 60957-4158

Phone

(217) 379-4896

Fax

(217) 379-2561

NPI assigned

Oct 28, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Bradley M. Alter

Title

Managing Member

Phone

(847) 674-4700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1417352873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 N MARKET ST",
            "city": "PAXTON",
            "state": "IL",
            "postal_code": "609574158",
            "telephone_number": "217-379-4896",
            "fax_number": "217-379-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N MARKET ST",
            "city": "PAXTON",
            "state": "IL",
            "postal_code": "609574158",
            "telephone_number": "217-379-4896",
            "fax_number": "217-379-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAXTON HEALTHCARE AND REAHB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "ALTER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "847-674-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "53272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Molloy
• Caroline Murphy
• Tim L Murphy
• Gail Lynn Neukomm, COTA/L
• Paxton Buckley Loda Comm Unit School Dist 10
• Emily Penn
• Abby K Ping
• Russell H Pitch, D.D.S.
• Christie L Putnam, PT
• Valerie Pyer

• Skilled Nursing Facility in Paxton, IL
• Providers in Paxton, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.