Moline NH LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MOLINE NH LLC

Practice address

7300 34TH Ave
Moline, IL 61265-5842

Phone

(309) 792-5940

Fax

(309) 792-5975

NPI assigned

Nov 30, 2016

Organization subpart

No

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

Authorized official

Name

James Mason

Title

President

Phone

(813) 347-7425

Specialties & licenses 1

Addresses

Other names 1

• River Crossing of Moline Doing business as

Member of 1

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

• Fal - Mountain Crest Inc.

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1487839841

  Member Of

  NPD member

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1922541572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 34TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612655842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 34TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612655842",
            "telephone_number": "309-792-5940",
            "fax_number": "309-792-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLINE NH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-347-7425"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Crossing of Moline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl Mohr, PHARM D
• Christopher Henry Molck, D.C.
• Moline Anesthesia PLLC
• Moline Chiropractic Clinic, PC
• Moline Drug Inc.
• Moline Nursing and Rehabilitation LLC
• Moline Rem Center, LLC
• Moline Unit School District 40
• Jessica Molnar
• Monarch Trauma Counseling Center

• Skilled Nursing Facility in Moline, IL
• Providers in Moline, 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 Jun 25, 2021; 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.