Organization Active NPI

Perry Health Care Associates LLC

Doing business as Marshall Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Perry, FL
National Provider Identifier
1952357345
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1436096 Issued in FL
Legal business name
PERRY HEALTH CARE ASSOCIATES LLC
Doing business as
Marshall Health and Rehabilitation Center
Practice address
207 Marshall Dr
Perry, FL 32347-1835
Phone
(850) 584-6334
Fax
(850) 838-1801
NPI assigned
May 26, 2006
Last updated
Nov 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Glenford E. Wright
Title
Manager
Phone
(850) 584-6334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1436096 FL Primary

Addresses

Primary practice location

207 Marshall Dr
Perry, FL 32347-1835

Mailing address

207 Marshall Dr
Perry, FL 32347-1835
Phone (850) 584-6334

Other identifiers 1

IdentifierTypeStateIssuer
025242500MedicaidFL

Other names 1

  • Marshall Health and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1952357345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MARSHALL DR",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323471835",
            "telephone_number": "850-584-6334",
            "fax_number": "850-838-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MARSHALL DR",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323471835",
            "telephone_number": "850-584-6334",
            "fax_number": "850-838-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "GLENFORD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-584-6334"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1436096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025242500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.