NPIMap

Organization Active NPI

Carefirst Rehab LLC

  • Home Health Agency
  • Sellersburg, IN
National Provider Identifier
1194011056
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAREFIRST REHAB LLC
Practice address
7225 Novas LNDG
Sellersburg, IN 47172-1790
Phone
(812) 748-7433
Fax
(812) 748-7442
NPI assigned
Jun 20, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Russell PorrasNPI 1326202730
Title
President
Phone
(812) 748-7433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

7225 Novas LNDG
Sellersburg, IN 47172-1790

Mailing address

7225 Novas LNDG
Sellersburg, IN 47172-1790
Phone (812) 748-7433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120724000127 IN Part A Provider - Home Health Agency 3678739489 Practice locations: Sellersburg, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194011056. Details of each certification follow.

Home health agency certification: CCN 157657

Legal name
CAREFIRST REHAB LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 15, 2013
Last certification
Mar 27, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 28, 2010 in IN
Enrollment address
7225 Novas LNDG
Sellersburg, IN 47172-1790

Care Compare: Home health agency

Medicare Care Compare
Listed as
Carefirst Rehab LLCCCN 157657 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Mar 15, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

7102 Novas Lndg
Sellersburg, IN 47172
Phone (812) 590-9181

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Russell E Porras Individual 5% Or Greater Direct Ownership InterestPresident Sep 28, 2010 100%
Corporate DirectorPresident Sep 28, 2010 100%
W-2 Managing EmployeePresident Sep 28, 2010 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Russell Porras, PT
    • Physical Therapist
    • Sellersburg, IN
    • NPI 1326202730

    5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 24

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194011056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 NOVAS LNDG",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721790",
            "telephone_number": "812-748-7433",
            "fax_number": "812-748-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 NOVAS LNDG",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721790",
            "telephone_number": "812-748-7433",
            "fax_number": "812-748-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREFIRST REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PORRAS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-748-7433"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersburg, IN

Sources for this page

Verify at the official NPI Registry.