Organization Active NPI

Wabasso Operations LLC

Doing business as Wabasso Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Wabasso, MN
National Provider Identifier
1629513882
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WABASSO OPERATIONS LLC
Doing business as
Wabasso Rehabilitation and Healthcare Center
Practice address
660 Maple St
Wabasso, MN 56293-1614
Phone
(507) 342-5166
Fax
(507) 342-5136
NPI assigned
Dec 27, 2016
Last updated
Dec 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Mr. Ephram Lahasky
Title
President
Phone
(646) 772-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

660 Maple St
Wabasso, MN 56293-1614

Mailing address

660 Maple St
Wabasso, MN 56293-1614
Phone (507) 342-5166

Other names 1

  • Wabasso Rehabilitation and Healthcare 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": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1629513882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 MAPLE ST",
            "city": "WABASSO",
            "state": "MN",
            "postal_code": "562931614",
            "telephone_number": "507-342-5166",
            "fax_number": "507-342-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 MAPLE ST",
            "city": "WABASSO",
            "state": "MN",
            "postal_code": "562931614",
            "telephone_number": "507-342-5166",
            "fax_number": "507-342-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASSO OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "LAHASKY",
        "authorized_official_first_name": "EPHRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-772-3668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wabasso Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wabasso, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.