Active NPI
Tonganoxie Nursing and Rehab LLC
- Skilled Nursing Facility
- Tonganoxie, KS
National Provider Identifier
1720490972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TONGANOXIE NURSING AND REHAB LLC
- Practice address
- 1010 East St
Ste 940
Tonganoxie, KS 66086-9557 - Phone
- (913) 369-8705
- NPI assigned
- May 22, 2014
- Last updated
- Jun 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moshe David Aryeh
- Title
- Member
- Phone
- (847) 440-2233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
1010 East St
Ste 940
Tonganoxie, KS 66086-9557
Mailing address
7383 N Lincoln Ave
Suite 100
Lincolnwood, IL 60712-1734
Phone (847) 440-2233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 453135624001 | Medicaid | KS |
National Provider Directory
National Provider DirectoryLocations
1010 East St
Ste 940
Tonganoxie, KS 66086
Phone 8472623800202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434931200000",
"number": "1720490972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7383 N LINCOLN AVE",
"address_2": "SUITE 100",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121734",
"telephone_number": "847-440-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 EAST ST",
"address_2": "STE 940",
"city": "TONGANOXIE",
"state": "KS",
"postal_code": "660869557",
"telephone_number": "913-369-8705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TONGANOXIE NURSING AND REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-22",
"last_updated": "2015-06-22",
"status": "A",
"authorized_official_last_name": "ARYEH",
"authorized_official_first_name": "MOSHE",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "847-440-2233"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "453135624001",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tonganoxie, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.