Perry Oaks Nursing & Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

036011 Issued in MO

Legal business name

PERRY OAKS NURSING & REHABILITATION CENTER LLC

Practice address

430 N West St
Perryville, MO 63775-1359

Phone

(573) 547-1011

Fax

(573) 547-7763

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Moshe Orlinsky

Title

Manager

Phone

(314) 588-7518

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1609964618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N BROADWAY",
            "address_2": "SUITE 2035",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631022711",
            "telephone_number": "314-588-7518",
            "fax_number": "314-588-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N WEST ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751359",
            "telephone_number": "573-547-1011",
            "fax_number": "573-547-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY OAKS NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "ORLINSKY",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-588-7518",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "036011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101479004",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perry County School Dist 32
• Perry County Services, Inc
• Perry County Services, Inc.
• Perry County Sheltered Workshop
• Perry Kids Pediatrics
• Perryville Health Care Corporation
• Perryville Health Care Corporation
• Perryville Health Center LLC
• Perryville Healthcare Corporation
• Perryville Orthodontics LLC

• All providers in Perryville, MO
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.