Organization Active NPI

Tonganoxie Nursing and Rehab LLC

  • Skilled Nursing Facility
  • Tonganoxie, KS
National Provider Identifier
1720490972
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
453135624001MedicaidKS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.