Nathional Health Care, Maryland Heights

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2008027075 Issued in MO

Legal business name

NATHIONAL HEALTH CARE, MARYLAND HEIGHTS

Practice address

2920 Fee Fee Rd
Maryland Heights, MO 63043-1915

Phone

(314) 291-0121

NPI assigned

Jan 20, 2009

Last updated

Jan 20, 2009By 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

Miss Tiffany Marie Ice, MOT OTR/L

Title

Occupational Therapist

Phone

(636) 226-7181

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1588801062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 FEE FEE RD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 FEE FEE RD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431915",
            "telephone_number": "314-291-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHIONAL HEALTH CARE, MARYLAND HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "ICE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "636-226-7181",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MOT OTR/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "2008027075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Maryland Heights, MO
• Providers in Maryland Heights, 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 Jan 20, 2009; 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.