Esrhc LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N0204 Issued in AL

Legal business name

ESRHC LLC

Practice address

101 Villa Dr
Daphne, AL 36526-4653

Phone

(251) 626-2694

NPI assigned

Oct 10, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Moss Ellenbogen

Title

President and Treasurer

Phone

(305) 308-3878

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eastern Shore Rehabilitation and Health Center Doing business as

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1902180847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3389 SHERIDAN ST",
            "address_2": "SUITE 416",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VILLA DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264653",
            "telephone_number": "251-626-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESRHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "ELLENBOGEN",
        "authorized_official_first_name": "MOSS",
        "authorized_official_title_or_position": "PRESIDENT AND TREASURER",
        "authorized_official_telephone_number": "305-308-3878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "N0204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-1082990S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Shore Rehabilitation and Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Encore Rehabilitation Inc
• Encore Rehabilitation, Inc.
• Encounter Counseling Center, LLC
• Meaghan Dumas Epler, OTR/L
• Enrico Natale Esposito, DC, ATC, CSCS
• Laura D Estes, DPT
• Norma Elaine Eubanks, LCSW, PIP
• Stephanie Berry Evans, DMD
• Exceptional Strides ABA Therapy, LLC
• Lisa Louise Falkinburg, RPH

• Skilled Nursing Facility in Daphne, AL
• Providers in Daphne, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.