Organization Active NPI

Prime Quality Rehab Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Hialeah, FL
National Provider Identifier
1295817344
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
PRIME QUALITY REHAB INC
Practice address
1840 W 49TH St
Suite 304
Hialeah, FL 33012-2942
Phone
(305) 828-7799
Fax
(305) 828-7399
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Mr. Luis G. Painchault
Title
Vice-President
Phone
(305) 828-7799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X FL Primary

Addresses

Primary practice location

1840 W 49TH St
Suite 304
Hialeah, FL 33012-2942

Mailing address

1840 W 49TH St
Suite 304
Hialeah, FL 33012-2942
Phone (305) 828-7799

National Provider Directory

National Provider Directory

Locations

900 W 49th St
Ste 216
Hialeah, FL 33012
Phone (305) 828-7799

Practitioners & affiliated clinicians

Practitioners 1

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1295817344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST",
            "address_2": "SUITE 304",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122942",
            "telephone_number": "305-828-7799",
            "fax_number": "305-828-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST",
            "address_2": "SUITE 304",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122942",
            "telephone_number": "305-828-7799",
            "fax_number": "305-828-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME QUALITY REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "PAINCHAULT",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "305-828-7799",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.