Provider Demographics
NPI:1417445230
Name:CENTERVILLE CARE & REHAB CENTER INC
Entity Type:Organization
Organization Name:CENTERVILLE CARE & REHAB CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:STROSCHEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-670-9855
Mailing Address - Street 1:500 VERMILLION ST
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:SD
Mailing Address - Zip Code:57014-2168
Mailing Address - Country:US
Mailing Address - Phone:605-563-2251
Mailing Address - Fax:
Practice Address - Street 1:500 VERMILLION ST
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:SD
Practice Address - Zip Code:57014-2168
Practice Address - Country:US
Practice Address - Phone:605-563-2251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-26
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility