L C Rehab LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

043016L14460 Issued in VA

Legal business name

L C REHAB LLC

Practice address

2135 Staples Mill Rd
Richmond, VA 23230-2905

Phone

(804) 353-7244

Fax

(804) 353-5976

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Maury Wise Cooke Jr.

Title

Vice President

Phone

(757) 466-1553

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• REHAB HEALTH CARE Doing business as

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1205988607",
    "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": "757-455-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 STAPLES MILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302905",
            "telephone_number": "804-353-7244",
            "fax_number": "804-353-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L C REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "MAURY",
        "authorized_official_middle_name": "WISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "757-466-1553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": "043016L14460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704399",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010207720",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "186532",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REHAB HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip Mason Kyle, DO
• Raymond Kyle, OTR/L
• Michelle E Kyles, LPC
• Andrea Kysor, FNP-C
• L & R Investments International, LLC
• L. Glenn Christie MD LTD
• L. Smith & Associates LLC
• Michael J. L'Heureux, M.D.
• Natalie La Rochelle, DDS, MS
• Danielle Labarre, LMHC

• Customized Equipment (DME) in Richmond, VA
• Providers in Richmond, VA by specialty
• Customized Equipment (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.