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NPI Code Detail

MEDICARE: SKILLED HEALTH FACILITIES, INC.

MEDICARE: SKILLED HEALTH FACILITIES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility032280MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17100076OTHERUNITED

General Provider Information

NPI Number : 1134167802
Entity Type Code : Organization
Provider Name (Legal Business Name) : SKILLED HEALTH FACILITIES, INC.
Provider Business Mailing Address
First Line : 2800 S FORT AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-3480
Country : US
Telephone Number : 417-882-0035
Fax Number :
Provider Business Practice Location Address
First Line : 2800 S FORT AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-3480
Country : US
Telephone Number : 417-882-0035
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : STUART YACHNOWITZ
Credential :
Telephone Number : 516-371-4000
Provider Enumeration Date : 06/03/2006
Last Update Date : 08/22/2020

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