Organization Active NPI

Mercy Rehab and Care Center, Inc.

Doing business as Rosewood Care Center of Swansea

  • Skilled Nursing Facility
  • Swansea, IL
National Provider Identifier
1568467306
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0032680 Issued in IL
Legal business name
MERCY REHAB AND CARE CENTER, INC.
Doing business as
Rosewood Care Center of Swansea
Practice address
100 Rosewood Village Dr
Swansea, IL 62226-2301
Phone
(618) 236-1391
NPI assigned
Jun 17, 2005
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Larry Vander Maten
Title
President
Phone
(314) 548-2250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0032680 IL Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 1303590001 IL

Addresses

Primary practice location

100 Rosewood Village Dr
Swansea, IL 62226-2301

Mailing address

11861 Westline Industrial Dr
Suite 150
Saint Louis, MO 63146-3305
Phone (314) 548-2250

Other names 1

  • Rosewood Care Center of Swansea Doing business as

National Provider Directory

National Provider Directory

Locations

11861 Westline Industrial Dr
Ste 150
Saint Louis, MO 63146

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1568467306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11861 WESTLINE INDUSTRIAL DR",
            "address_2": "SUITE 150",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463305",
            "telephone_number": "314-548-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROSEWOOD VILLAGE DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262301",
            "telephone_number": "618-236-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY REHAB AND CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "VANDER MATEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-548-2250"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0032680",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": "1303590001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosewood Care Center of Swansea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.