NPIMap

Organization Active NPI

LC Rehab LLC

  • Durable Medical Equipment & Medical Supplies
  • Charlottesville, VA
National Provider Identifier
1366712085
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
43016 Issued in VA
Legal business name
LC REHAB LLC
Doing business as
REHAB HEALTH CARE
Practice address
1717 Allied St
Charlottesville, VA 22903-5320
Phone
(434) 971-8808
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Lorrie A Edwards
Title
Accounting/Office Manager
Phone
(757) 802-9554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 43016 VA Primary

Addresses

Primary practice location

1717 Allied St
Charlottesville, VA 22903-5320

Mailing address

5873 Poplar Hall Dr
Norfolk, VA 23502-3815
Phone (757) 466-1553

Other identifiers 3

IdentifierTypeStateIssuer
7704399MedicaidNC
010207720MedicaidVA
653101600MedicaidMD

Other names 1

  • REHAB HEALTH CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
LC Rehab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1366712085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5873 POPLAR HALL DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023815",
            "telephone_number": "757-466-1553",
            "fax_number": "866-742-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 ALLIED ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035320",
            "telephone_number": "434-971-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LC REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ACCOUNTING/OFFICE MANAGER",
        "authorized_official_telephone_number": "757-802-9554"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "43016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704399",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010207720",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "653101600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REHAB HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.