Regional Care of Lebanon North, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

037775 Issued in MO

Legal business name

REGIONAL CARE OF LEBANON NORTH, LLC

Practice address

596 Morton Rd
Lebanon, MO 65536-3648

Phone

(417) 532-9173

Fax

(417) 532-8223

NPI assigned

Feb 4, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Cody Long

Title

Cfo

Phone

(479) 464-0200

Specialties & licenses 1

Addresses

Other names 1

• Christian Health and Rehabilitation of Lebanon North Doing business as

Tax ID family

Christian Health and Rehabilitation of Lebanon North2 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.

• N & R of Lebanon North LLC

  • Skilled Nursing Facility
  • Lebanon, MO
  • NPI 1881091239
  NPD tax ID

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1962708149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S 1ST ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564504",
            "telephone_number": "479-464-0200",
            "fax_number": "479-464-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 MORTON RD",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363648",
            "telephone_number": "417-532-9173",
            "fax_number": "417-532-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL CARE OF LEBANON NORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "479-464-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "037775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Health and Rehabilitation of Lebanon North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Ranfeld, M.S.
• Reagan Rehabilitation Outpatient Therapy, LLC
• Jonathan Douglas Wayne Reagan, MPT
• Stetson Wayne Reed, DPT
• Candice Loriel Reeves, PHYSICAL THERAPIST
• Regional Care of Lebanon South, LLC
• Regional Services
• Renal Care Group of the Ozarks, LLC
• Emily Revelle
• Kelly Dan Rhoades, PLPC, MA

• Skilled Nursing Facility in Lebanon, MO
• Providers in Lebanon, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.