Rehab & Care Center of Jackson County

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

145395 Issued in IL

Legal business name

REHAB & CARE CENTER OF JACKSON COUNTY

Practice address

1441 N 14TH St
Murphysboro, IL 62966-2982

Phone

(618) 684-2136

Fax

(618) 684-5710

NPI assigned

Sep 27, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Merle K Taylor

Title

Administrator

Phone

(618) 684-2136

Specialties & licenses 2

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Jackson County

  • Land Ambulance
  • Murphysboro, IL
  • NPI 1437260528

  Member Of

  NPD member

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1770570418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N 14TH ST",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629662982",
            "telephone_number": "618-684-2136",
            "fax_number": "618-684-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N 14TH ST",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629662982",
            "telephone_number": "618-684-2136",
            "fax_number": "618-684-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB & CARE CENTER OF JACKSON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MERLE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-684-2136",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "145395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000010330",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATION LICENSE",
            "identifier": "1390",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald W Porter, D.O.
• Molly Quinn, LCSW
• Kathy Lynn Ragan, LPN
• Real Reach Mental Health Service, LLC
• Jack Leon Reed, DC
• Kailee Reinacher
• Amy S. Remsey
• Jeffrey Ripperda, MD
• River2 Emergency Physicians LLP
• Dana L Rix-Crouse, CRNA

• Skilled Nursing Facility in Murphysboro, IL
• Providers in Murphysboro, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.