MLB Jeffersonville Health Facilities, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MLB JEFFERSONVILLE HEALTH FACILITIES, INC

Doing business as

Jeffersonville Nursing and Rehabilitation

Practice address

1720 E 8TH St
Jeffersonville, IN 47130-4659

Phone

(813) 635-9500

Fax

(813) 635-0081

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Mando

Title

Cfo

Phone

(813) 635-9500

Specialties & licenses 1

Addresses

Other names 1

• Jeffersonville Nursing and Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699710186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 COCONUT PALM DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336191388",
            "telephone_number": "813-635-9500",
            "fax_number": "813-635-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E 8TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304659",
            "telephone_number": "813-635-9500",
            "fax_number": "813-635-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLB JEFFERSONVILLE HEALTH FACILITIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANDO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-635-9500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffersonville Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth A Mills, APRN
• Roxie Dimple Miner, LCSW
• Susan Minton, MSSW
• Grace Missi, MA-CCC-SLP
• Ryan M Missi, APRN-BC
• Mocca Dialysis LLC
• Gillian Moffitt, RBT
• Brianna Montgomery, RBT
• Miranda Montgomery, RBT
• Oliver S Montoya, MD

• Skilled Nursing Facility in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.