Midland Rehabilitation and Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MIDLAND REHABILITATION AND HEALTHCARE CENTER, LLC

Practice address

46 N Midland Blvd
Nampa, ID 83651-2145

Phone

(208) 466-7803

Fax

(208) 466-7898

NPI assigned

Apr 1, 2009

Organization subpart

Yes

Parent organization

COVENANT DOVE, LLCAs reported in NPPES

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

Authorized official

Name

Craig E Robinson

Title

President

Phone

(901) 937-7994

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1902048366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 N MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836512145",
            "telephone_number": "208-466-7803",
            "fax_number": "208-466-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 N MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836512145",
            "telephone_number": "208-466-7803",
            "fax_number": "208-466-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT DOVE, LLC",
        "enumeration_date": "2009-04-01",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902048366-000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Meyers, LMSW
• Nondo Mialano, LMSW
• Andrew David Michaels, M.D.
• Sara Mackenna Middleton
• Midland Nampa Healthcare LLC
• Mihai Irimia
• Glenda Millard, PHARMD
• Amber Miller, LCPC
• Carrie Miller, RN, MSN
• Elizabeth Miller

• Skilled Nursing Facility in Nampa, ID
• Providers in Nampa, ID by specialty
• Skilled Nursing Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.