Provider Demographics
NPI:1396289880
Name:ARMOUR CARE AND REHABILITATION CENTER LLC
Entity type:Organization
Organization Name:ARMOUR CARE AND REHABILITATION CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-635-1195
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:ARMOUR
Mailing Address - State:SD
Mailing Address - Zip Code:57313-0489
Mailing Address - Country:US
Mailing Address - Phone:605-724-2911
Mailing Address - Fax:605-724-2661
Practice Address - Street 1:106 BRADDOCK ST
Practice Address - Street 2:
Practice Address - City:ARMOUR
Practice Address - State:SD
Practice Address - Zip Code:57313-0000
Practice Address - Country:US
Practice Address - Phone:605-724-2911
Practice Address - Fax:605-724-2661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-19
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA435057OtherPTAN
435057Medicare Oscar/Certification