Nathan Health Care Center, L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NATHAN HEALTH CARE CENTER, L.L.C.

Practice address

5050 Summit Ave
East Saint Louis, IL 62203-1026

Phone

(618) 874-3597

Fax

(618) 874-0240

NPI assigned

Mar 11, 2011

Last updated

Apr 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ashwin Dundoo

Title

Director of Finance

Phone

(314) 543-3800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1699073874",
    "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": "5050 SUMMIT AVE",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622031026",
            "telephone_number": "618-874-3597",
            "fax_number": "618-874-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN HEALTH CARE CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "DUNDOO",
        "authorized_official_first_name": "ASHWIN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "314-543-3800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly J Mitchell
• Kischa Moton
• Narsimha R Muddasani, M.D.
• Chennaiah Nadindla, MD
• Margaret M Nahass, PA-C, RN
• Mary Beth E Neufeld-Wall, MSW, LCSW
• Charles V Nye Jr., M.D.
• Osh-Il Physicians Group LLC
• Rina S. Patney, M.D.
• Marianna Peterson, MSW

• Skilled Nursing Facility in East Saint Louis, IL
• Providers in East Saint Louis, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.