A Place for You Adult Day Care and Rehab Center Corp.
Organization Active NPI Comprehensive Outpatient Rehabilitation Facility (CORF) · Palm Springs, FL
NPI 1134617855 · NPPES record last updated Apr 27, 2018
Key facts
- NPI
- 1134617855
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
- Legal business name
- A PLACE FOR YOU ADULT DAY CARE AND REHAB CENTER CORP.
- Practice address
- 3678 S Congress Ave
Palm Springs, FL 33461-3700 - Phone
- (561) 965-6980
- Fax
- (561) 965-9231
- NPI assigned
- Apr 27, 2018
- Organization subpart
- No
Authorized official
- Name
- Yoniel Gonzalez, BSHSA, CNP
- Title
- Managing Director
- Phone
- (561) 965-6980
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191004001029 | FL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 4981937166 | Practice locations: Palm Springs, FL |
National Provider Directory
Locations
3678 S Congress Ave
Palm Springs, FL 33461
Phone (561) 292-0506
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Yes |
Addresses
Primary practice location
3678 S Congress Ave
Palm Springs, FL 33461-3700
Mailing address
3678 S Congress Ave
Palm Springs, FL 33461-3700
Phone (561) 965-6980
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009919500 | Medicaid | FL | |
| 010295800 | Medicaid | FL |
Other providers in Palm Springs, FL
- A Joyful Heart Home Services II LLC
- A New Start, Inc
- A Place for You Adult Day Care and Rehab Center Corp.
- A Place for You Community Health Center Corp.
- ABA Specialist of FL Inc
- Abaco House a.L.F,LLC
- Abaco House a.L.F,LLC
All providers in Palm Springs, FL · Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.