Rock Island Nursing and Rehab Center, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0049866 Issued in IL

Legal business name

ROCK ISLAND NURSING AND REHAB CENTER, LLC

Practice address

2545 24TH St
Rock Island, IL 61201-5305

Phone

(309) 788-0458

Fax

(309) 788-5234

NPI assigned

May 30, 2014

Last updated

May 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Winter

Title

Cfo

Phone

(847) 675-7979

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401408000000",
    "number": "1922410521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 24TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015305",
            "telephone_number": "309-788-0458",
            "fax_number": "309-788-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 24TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015305",
            "telephone_number": "309-788-0458",
            "fax_number": "309-788-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK ISLAND NURSING AND REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-30",
        "last_updated": "2014-05-30",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-675-7979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "0049866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Roark
• Robert W Milas MD SC
• Robert Young Center
• Patricia A Robinson, CRC, LBSW
• Rock Island Dental Associates LLP
• Rock Island Optometric Center LTD (Mercer County Family Eyecare)
• Rock Island School District 41
• Rock Island Supportive Living Center (The Fort Armstrong)
• Jason R Rockwell
• Jacob Rod

• Durable Medical Equipment & Medical Supplies in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.