The Rehabilitation Center of Raymore, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

043389 Issued in MO

Legal business name

THE REHABILITATION CENTER OF RAYMORE, LLC

Doing business as

The Rehabilitation Center of Raymore

Practice address

600 E Sunrise Dr
Raymore, MO 64083-9037

Phone

(816) 322-1991

Fax

(816) 322-4810

NPI assigned

Mar 22, 2007

Last updated

Jan 26, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMMIT CARE LLCAs reported in NPPES

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

Authorized official

Name

Michael T. Berg

Title

Assistant Secretary

Phone

(505) 468-4752

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Rehabilitation Center of Raymore Doing business as

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1760508253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E SUNRISE DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839037",
            "telephone_number": "816-322-1991",
            "fax_number": "816-322-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E SUNRISE DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839037",
            "telephone_number": "816-322-1991",
            "fax_number": "816-322-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REHABILITATION CENTER OF RAYMORE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE LLC",
        "enumeration_date": "2007-03-22",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "043390",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "043389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102944402",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rehabilitation Center of Raymore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ethan Taff, PLPC
• Mary Migdalia Taft, MSW, LCSW
• Caroline Tanui
• Eve Teis, PSYD
• Stephanie Terrell
• Holly Thomas, LMSW
• Lillian Tollison, LPC
• Michelle Toole I
• Tam Tran
• Trugia Care

• Skilled Nursing Facility in Raymore, MO
• Providers in Raymore, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.