JRT Healthcare, Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

JRT HEALTHCARE, INC.

Doing business as

Parke View Rehabilitation and Care Center Outpatient Therapy

Practice address

2303 Park Ave
Burley, ID 83318-2106

Phone

(208) 677-3073

Fax

(208) 677-9814

NPI assigned

Jan 31, 2018

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Treasurer

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• Parke View Rehabilitation and Care Center Outpatient Therapy Doing business as

Tax ID family

Esolutions Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JRT Healthcare, Inc.

  • Skilled Nursing Facility
  • Burley, ID
  • NPI 1720317761
  NPD tax ID

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1932607363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 PARK AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182106",
            "telephone_number": "208-677-3073",
            "fax_number": "208-677-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 PARK AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182106",
            "telephone_number": "208-677-3073",
            "fax_number": "208-677-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRT HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parke View Rehabilitation and Care Center Outpatient Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anita Engstrom Jones, LCPC, LMFT
• Jennifer Anne Jones, COUI-9582
• Joseph R. Petersen, M.D.
• Joseph R. Petersen, M.D.
• JRT Healthcare, Inc.
• Ellen K Judd, P.A.
• Justin D Ward DMD MSD PLLC
• K2Red L.L.C.
• Logan Kay, DMD
• Shane Ryan Kelsey, MS, LPC

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Burley, ID
• Providers in Burley, ID by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.