Plymouth NH, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PLYMOUTH NH, LLC

Doing business as

Plymouth Nursing and Rehab

Practice address

309 N Kingston Rd
Plymouth, IN 46563-1927

Phone

(574) 936-9025

Fax

(574) 936-4928

NPI assigned

Jun 20, 2005

Last updated

Aug 22, 2020By 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

William Mando

Title

Cfo

Phone

(813) 635-9500

Specialties & licenses 1

Addresses

Other names 1

• Plymouth Nursing and Rehab Doing business as

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467457044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N KINGSTON RD",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631927",
            "telephone_number": "574-936-9025",
            "fax_number": "574-936-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N KINGSTON RD",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631927",
            "telephone_number": "574-936-9025",
            "fax_number": "574-936-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH NH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANDO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-635-9500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plymouth Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Plymouth Community School Corporation
• Plymouth Eye Clinic, P.C. (Plymouth Family Eyecare)
• Plymouth Family Dental Care
• Plymouth Family Dentistry, Inc
• Plymouth Fire & EMS Department (Plymouth Community Ambulance Service)
• Plymouth Towne Care Pharmacy Inc (People's Drug Store)
• Plymouth Towne Care Pharmacy Inc (Peoples Drug Store)
• Plymouth Towne Care Pharmacy Inc (People Drugs and Lifeplex)
• Margaret Jean Ponto, FNP-BC
• Prairie View Therapeutic Group Homes, Inc.

• Skilled Nursing Facility in Plymouth, IN
• Providers in Plymouth, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.