The Rehabilitation Center of Des Moines, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

770202 Issued in IA

Legal business name

THE REHABILITATION CENTER OF DES MOINES, LLC

Practice address

701 Riverview St
Des Moines, IA 50316-2343

Phone

(515) 266-1106

Fax

(515) 266-5906

NPI assigned

Mar 12, 2009

Organization subpart

Yes

Parent organization

SUMMIT CARE LLCAs reported in NPPES

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

Authorized official

Name

Michael T. Berg

Title

Assistant Secretary

Phone

(505) 468-4752

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Rehabilitation Center of Des Moines Doing business as

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1649411166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 RIVERVIEW ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162343",
            "telephone_number": "515-266-1106",
            "fax_number": "515-266-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 RIVERVIEW ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162343",
            "telephone_number": "515-266-1106",
            "fax_number": "515-266-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REHABILITATION CENTER OF DES MOINES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE LLC",
        "enumeration_date": "2009-03-12",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "770202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649411166",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rehabilitation Center of Des Moines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Des Moines, IA
• Providers in Des Moines, 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 Jan 26, 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.