Active NPI
Neurorehab Services LLC
- Rehabilitation Clinic/Center
- Carmel, IN
National Provider Identifier
1275934879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 130123091
- Legal business name
- NEUROREHAB SERVICES LLC
- Practice address
- 11610 Technology Dr
Carmel, IN 46032-5600 - Phone
- (941) 586-4018
- NPI assigned
- Sep 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Adrian Young, LPN
- Title
- Ceo
- Phone
- (941) 586-4018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 130123091 | IN | Primary |
Addresses
Primary practice location
11610 Technology Dr
Carmel, IN 46032-5600
Mailing address
8466 Lockwood Ridge Rd Ste 340
Sarasota, FL 34243-2951
Phone (941) 586-4018
National Provider Directory
National Provider Directory- Tax ID family
- Neurorehab Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Tampa, FL
- NPI 1033510631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410739200000",
"number": "1275934879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8466 LOCKWOOD RIDGE RD STE 340",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342432951",
"telephone_number": "941-586-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11610 TECHNOLOGY DR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325600",
"telephone_number": "941-586-4018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROREHAB SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-15",
"last_updated": "2014-09-15",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "ADRIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "941-586-4018",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "IN",
"license": "130123091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.