Active NPI
Rehab by Rvna, LLC
- Rehabilitation Clinic/Center
- Ridgefield, CT
National Provider Identifier
1285082099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- REHAB BY RVNA, LLC
- Practice address
- 27 Governor St
Ridgefield, CT 06877-4657 - Phone
- (203) 438-5555
- Fax
- (203) 431-5618
- NPI assigned
- Jun 2, 2016
- Organization subpart
- Yes
- Parent organization
- VISITING NURSE ASSOCIATION OF RIDGEFIELD, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Debra J Trevelin
- Title
- Finance Director
- Phone
- (203) 438-5555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
27 Governor St
Ridgefield, CT 06877-4657
Mailing address
27 Governor St
Ridgefield, CT 06877-4657
Phone (203) 438-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D100325328 | Other | CT | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160823000246 | CT | Part B Supplier - Clinic/Group Practice | 2466747019 |
Receives reassigned benefits from 33 practitioners Practice locations: Ridgefield, CT |
National Provider Directory
National Provider Directory- Part of
- Rvnahealth Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
27 Governor St
Ridgefield, CT 06877
Phone (203) 438-5555
Practitioners 34
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719532800000",
"number": "1285082099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 GOVERNOR ST",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774657",
"telephone_number": "203-438-5555",
"fax_number": "203-431-5618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 GOVERNOR ST",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774657",
"telephone_number": "203-438-5555",
"fax_number": "203-431-5618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB BY RVNA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VISITING NURSE ASSOCIATION OF RIDGEFIELD, INC",
"enumeration_date": "2016-06-02",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A",
"authorized_official_last_name": "TREVELIN",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "203-438-5555",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "D100325328",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.