St. Mary Healthcare and Rehabilitation Center, LLC
NPI 1417283789ActiveOrganization· Skilled Nursing Facility· Davenport, IA
Skilled Nursing Facility in Davenport, Iowa, registered in NPPES in October 2009, part of Summit Care LLC. The authorized official on file is Michael T. Berg, Assistant Secretary.
Overview
| NPI | 1417283789 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Summit Care LLC |
| NPI issued | Oct 21, 2009 |
| Last updated in NPPES | Jan 26, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 820846 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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