Rusholme Healthcare, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RUSHOLME HEALTHCARE, INC.

Practice address

800 E Rusholme St
Davenport, IA 52803-2547

Phone

(563) 322-1668

Fax

(563) 326-1811

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Treasurer

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• St. Mary Healthcare and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1619427689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032547",
            "telephone_number": "563-322-1668",
            "fax_number": "563-326-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032547",
            "telephone_number": "563-322-1668",
            "fax_number": "563-326-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHOLME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Mary Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ginette Yvonne Rumler, RDN, LDN, CLC
• Jessica Marie Rummery, ATC, LAT
• Haley J Runge
• Daniel John Rupke, M.D.
• Lisa Rush
• Megan Russell
• Sarah Anne Ruth
• Ellen Jane Ryan, MS, RD, LD
• Jennifer Jane Ryan, MPT
• Kristin Ryan

• Skilled Nursing Facility in Davenport, IA
• Providers in Davenport, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.