Organization Active NPI

Levering Regional Health Care Center, LLC

  • Skilled Nursing Facility
  • Hannibal, MO
National Provider Identifier
1619964442
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on May 30, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102895109MedicaidMO

Other names 1

  • Levering Regional Health Care Center Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.