Organization Active NPI

Tri County Rehabilitation, Inc.

  • Rehabilitation Clinic/Center
  • Garden City, MI
National Provider Identifier
1073670097
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
TRI COUNTY REHABILITATION, INC.
Practice address
29217 Ford Rd
Ste 105
Garden City, MI 48135-2889
Phone
(734) 427-8210
Fax
(734) 427-8209
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daya Krishana
Title
Administrator
Phone
(734) 427-8210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

29217 Ford Rd
Ste 105
Garden City, MI 48135-2889

Mailing address

29217 Ford Rd
Ste 105
Garden City, MI 48135-2889
Phone (734) 427-8210

Other identifiers 1

IdentifierTypeStateIssuer
30676OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

29217 Ford Rd
Ste 105
Garden City, MI 48135
Phone (734) 427-8210

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073670097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29217 FORD RD",
            "address_2": "STE 105",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352889",
            "telephone_number": "734-427-8210",
            "fax_number": "734-427-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29217 FORD RD",
            "address_2": "STE 105",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352889",
            "telephone_number": "734-427-8210",
            "fax_number": "734-427-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRISHANA",
        "authorized_official_first_name": "DAYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-427-8210"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30676",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.