SRZ Op Rolla LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SRZ OP ROLLA LLC

Doing business as

Rolla Health & Rehabilitation Suites

Practice address

1200 McCutchen Rd
Rolla, MO 65401-2615

Phone

(573) 364-2311

NPI assigned

May 17, 2018

Organization subpart

Yes

Parent organization

SRZ OP HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Samuel Goldner

Title

Authorized Person/Official

Phone

(347) 677-0448

Specialties & licenses 1

Addresses

Other names 1

• Rolla Health & Rehabilitation Suites Doing business as

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1477043222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HERRICK DR",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591528",
            "telephone_number": "929-928-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MCCUTCHEN RD",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012615",
            "telephone_number": "573-364-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRZ OP ROLLA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SRZ OP HOLDINGS LLC",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "GOLDNER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "AUTHORIZED PERSON/OFFICIAL",
        "authorized_official_telephone_number": "347-677-0448"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rolla Health & Rehabilitation Suites",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Rolla, MO
• Providers in Rolla, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.