Indio Nursing and Rehabilitation Center Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

INDIO NURSING AND REHABILITATION CENTER INC.

Practice address

47763 Monroe St
Indio, CA 92201-6711

Phone

(760) 347-0750

Fax

(760) 347-9322

NPI assigned

Sep 7, 2005

Organization subpart

No

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

Authorized official

Name

Jeffery Blaine Hendrickson

Title

President

Phone

(760) 347-0750

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992799795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10487",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230487",
            "telephone_number": "909-885-0268",
            "fax_number": "909-884-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47763 MONROE ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016711",
            "telephone_number": "760-347-0750",
            "fax_number": "760-347-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIO NURSING AND REHABILITATION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-347-0750"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC90078F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Jazmin Ibarra Rivas
• Zekhariah Inyasio Idro, PA-C
• Indio Behavioral Hospital, LLC
• Indio Emergency Med Group Inc
• Indio Healthcare & Wellness Center, LLC
• Indio Surgery Center
• Indio Surgery Center
• Industrial Healthcare Physicians Medical Group, Inc
• Infinite Love and Care Homes
• Infiniti Health Products, LLC

• Skilled Nursing Facility in Indio, CA
• Providers in Indio, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.