# ST. JOHN HEALTHCARE AND REHABILITATION CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUMMIT CARE LLC
- **Other names:** St. John Healthcare and Rehabilitation Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447442512
- **Legal business name:** SUMMIT CARE LLC
- **Authorized official:** MICHAEL T. BERG (ASSISTANT SECRETARY)
- **Authorized official phone:** (505) 468-4752

## Contact information

- **Practice address:** 2216 LESTER DR NE, ALBUQUERQUE, NM 87112-2607
- **Practice address phone:** (505) 296-4808
- **Practice address fax:** (505) 293-0398
- **Mailing address:** 2216 LESTER DR NE, ALBUQUERQUE, NM 87112-2607
- **Mailing address phone:** (505) 296-4808
- **Mailing address fax:** (505) 293-0398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1065 | NM | Yes |

## Other

- **Enumeration date:** 08/13/2007
- **Last updated:** 01/26/2016