NPIMap

Organization Active NPI

Rebound Healthcare Systems LLC

  • Community/Behavioral Health Agency
  • Springfield, IL
National Provider Identifier
1215473673
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
A-63130001-A Issued in IL
Legal business name
REBOUND HEALTHCARE SYSTEMS LLC
Practice address
435 W Washington St
Springfield, IL 62702-5006
Phone
(217) 210-2476
Fax
(217) 210-2549
NPI assigned
Jan 10, 2017
Last updated
Jan 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Mr. Michael J Reeves, LCSWNPI 1780126169
Title
Owner/Director
Phone
(217) 210-2476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X A-63130001-A IL Primary

Addresses

Primary practice location

435 W Washington St
Springfield, IL 62702-5006

Mailing address

435 W Washington St
Springfield, IL 62702-5006
Phone (217) 210-2476

Other identifiers 1

IdentifierTypeStateIssuer
A-63130001-AOtherILILLINOIS DEPARTMENT OF HUMAN SERVICES, DASA

National Provider Directory

National Provider Directory

Locations

435 W Washington St
Springfield, IL 62702
Phone (217) 210-2476

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1215473673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W WASHINGTON ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025006",
            "telephone_number": "217-210-2476",
            "fax_number": "217-210-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W WASHINGTON ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025006",
            "telephone_number": "217-210-2476",
            "fax_number": "217-210-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND HEALTHCARE SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "217-210-2476",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-63130001-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF HUMAN SERVICES, DASA",
            "identifier": "A-63130001-A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.