Organization Active NPI

Sirach Health Professional Limited Liability Company

Doing business as Sirach Health LLC

  • Physical Medicine & Rehabilitation Physician
  • Murrells Inlet, SC
National Provider Identifier
1710443833
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SIRACH HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY
Doing business as
Sirach Health LLC
Practice address
4070 US Highway 17 Bypass South
Murrells Inlet, SC 29576
Phone
(865) 306-8363
NPI assigned
Feb 13, 2019
Last updated
Apr 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Joey Edward Malonjaro Roque, MD
Title
Ceo, Sole Member
Phone
(865) 306-8363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

4070 US Highway 17 Bypass South
Murrells Inlet, SC 29576

Mailing address

PO Box 847
Cordova, TN 38088-0847
Phone (901) 821-0338

Other practice location 1

Myrtle Beach Rehabilitation Hospital LLC
1000 Water Grande Boulevard
Little River, SC 29566
Phone (999) 999-9999

Other names 2

  • Sirach Health LLC Doing business as
  • Sirach Health Professional Limited Liability Corporation Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1710443833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380880847",
            "telephone_number": "901-821-0338",
            "fax_number": "844-325-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 US HIGHWAY 17 BYPASS SOUTH",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29576",
            "telephone_number": "865-306-8363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Myrtle Beach Rehabilitation Hospital LLC",
            "address_2": "1000 Water Grande Boulevard",
            "address_purpose": "LOCATION",
            "city": "Little River",
            "state": "SC",
            "postal_code": "29566",
            "country_code": "US",
            "telephone_number": "999-999-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIRACH HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "EDWARD MALONJARO",
        "authorized_official_title_or_position": "CEO, SOLE MEMBER",
        "authorized_official_telephone_number": "865-306-8363",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sirach Health LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sirach Health Professional Limited Liability Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.