Active NPI
Levering Regional Health Care Center, LLC
- Skilled Nursing Facility
- Hannibal, MO
National Provider Identifier
1619964442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LEVERING REGIONAL HEALTH CARE CENTER, LLC
- Doing business as
- Levering Regional Health Care Center
- Practice address
- 1734 Market St
Hannibal, MO 63401-4025 - Phone
- (573) 221-2930
- Fax
- (573) 221-2437
- NPI assigned
- Oct 6, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ashwin Dundoo
- Title
- Finance
- Phone
- (314) 543-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1734 Market St
Hannibal, MO 63401-4025
Mailing address
1869 Craig Park CT
Saint Louis, MO 63146-4122
Phone (314) 543-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102895109 | Medicaid | MO |
Other names 1
- Levering Regional Health Care Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369872000000",
"number": "1619964442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1869 CRAIG PARK CT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631464122",
"telephone_number": "314-543-3800",
"fax_number": "314-543-3880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1734 MARKET ST",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634014025",
"telephone_number": "573-221-2930",
"fax_number": "573-221-2437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEVERING REGIONAL HEALTH CARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-06",
"last_updated": "2013-05-30",
"status": "A",
"authorized_official_last_name": "DUNDOO",
"authorized_official_first_name": "ASHWIN",
"authorized_official_title_or_position": "FINANCE",
"authorized_official_telephone_number": "314-543-3800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102895109",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Levering Regional Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.