LC Rehab LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

43016 Issued in VA

Legal business name

LC REHAB LLC

Doing business as

REHAB HEALTH CARE

Practice address

50 Andrew Russell Lane
Fishersville, VA 22939

Phone

(757) 466-1553

Fax

(866) 742-0760

NPI assigned

Aug 5, 2010

Organization subpart

No

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

Authorized official

Name

Lorrie Edwards

Title

Accounting/Office Manager

Phone

(757) 466-1553

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• REHAB HEALTH CARE Doing business as

Tax ID family

LC Rehab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• LC Rehab LLC

  • Durable Medical Equipment & Medical Supplies
  • Charlottesville, VA
  • NPI 1366712085
  NPD tax ID

Locations

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1174837736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5873 POPLAR HALL DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023815",
            "telephone_number": "757-466-1553",
            "fax_number": "866-742-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ANDREW RUSSELL LANE",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "22939",
            "telephone_number": "757-466-1553",
            "fax_number": "866-742-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LC REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_title_or_position": "ACCOUNTING/OFFICE MANAGER",
        "authorized_official_telephone_number": "757-466-1553"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "43016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010207720",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REHAB HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lasco Construction LLC
• Swen Ericson Laser, MD
• Jason M. Lawrence, M.D.
• Jenilee V. Lawrence, M.D.
• Kevin L Lawrence, M.D.
• Wendy S Ledbetter, P.T.
• Jasmine Lee, DDS
• Thomas Barnet Lee, PA-C
• Victor C Lee
• David Lehman, M.D.

• Durable Medical Equipment & Medical Supplies in Fishersville, VA
• Providers in Fishersville, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.