Moc Surprise, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MOC SURPRISE, LLC

Doing business as

Rapid Recovery From Mainstreet Health
Rapid Recovery by Mainstreet Health

Practice address

14660 West Parkwood Drive
Surprise, AZ 85374

Phone

(317) 689-2157

NPI assigned

Jul 14, 2017

Organization subpart

No

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

Authorized official

Name

Paul Ezekiel Turner

Title

Ceo

Phone

(317) 582-6200

Specialties & licenses 1

Addresses

Other names 2

• Rapid Recovery From Mainstreet Health Doing business as
• Rapid Recovery by Mainstreet Health Doing business as

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1518489244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14390 CLAY TERRACE BLVD STE 205",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323669",
            "telephone_number": "317-582-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14660 WEST PARKWOOD DRIVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "317-689-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOC SURPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EZEKIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-582-6200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rapid Recovery From Mainstreet Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rapid Recovery by Mainstreet Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.