Advantage Rehab, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

85382027 Issued in NM

Legal business name

ADVANTAGE REHAB, INC.

Practice address

4600B Montgomery Blvd NE
Suite 202
Albuquerque, NM 87109-1218

Phone

(505) 828-0232

Fax

(505) 823-1051

NPI assigned

Mar 5, 2007

Organization subpart

Yes

Parent organization

ADVANTAGE HOME CARE, INC.As reported in NPPES

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

Authorized official

Name

Robert Jeremy Martin

Title

President

Phone

(505) 828-0232

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advantage Rehab Doing business as

Part of

Advantage Home Care Inc

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1255460366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600B MONTGOMERY BLVD NE",
            "address_2": "SUITE 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091218",
            "telephone_number": "505-828-0232",
            "fax_number": "505-823-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600B MONTGOMERY BLVD NE",
            "address_2": "SUITE 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091218",
            "telephone_number": "505-828-0232",
            "fax_number": "505-823-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE REHAB, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANTAGE HOME CARE, INC.",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-828-0232"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NM",
            "license": "85382027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85382027",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advantage Home Care Inc.
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• Advantage Mobile Diagnostic Imaging LLC
• Advantageous Community Services, LLC
• Advanticare Home Health Services,LLC
• Adventure in Faith Counseling, LLC
• Advocacy Partners LLC
• Advocates of New Mexico, LLC

• All providers in Albuquerque, NM
• Developmentally Disabled Services Day Training Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.