Active NPI
Perry Health Care Associates LLC
Doing business as Marshall Health and Rehabilitation Center
- Skilled Nursing Facility
- Perry, FL
National Provider Identifier
1952357345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF1436096
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025242500 | Medicaid | FL |
Other names 1
- Marshall Health and Rehabilitation Center
National Provider Directory
National Provider DirectoryNPI 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.