H2 Rehabilitation Extension Services, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

H2 REHABILITATION EXTENSION SERVICES, LLC

Practice address

1180 Ben Franklin Hwy E
Douglassville, PA 19518-1548

Phone

(610) 385-5009

Fax

(610) 929-1606

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Amanda Streeter

Title

Vice President

Phone

(800) 699-9395

Specialties & licenses 1

Addresses

Other names 1

• H2 Health Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• H2 Rehabilitation Extension Services, LLC

  • Rehabilitation Clinic/Center
  • Douglassville, PA
  • NPI 1730620451

  O20170425001078

  Same enrollment
• H2 Rehabilitation Extension Services, LLC

  • Rehabilitation Clinic/Center
  • Boyertown, PA
  • NPI 1780039149

  O20170425001078

  Same enrollment

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700352000000",
    "number": "1376084095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311934912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEN FRANKLIN HWY E",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181548",
            "telephone_number": "610-385-5009",
            "fax_number": "610-929-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H2 REHABILITATION EXTENSION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A",
        "authorized_official_last_name": "STREETER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-699-9395"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H2 Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "H2 Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danica Flinchbaugh, LPC
• Katharine Desmarais Floren, LMFT
• Toni Galm, MS, LPC
• Constance J Green-Fritz, LCSW
• Heidi Rebecca Grubb, DPT
• H2 Rehabilitation Extension Services, LLC
• Shawn Robert Habakus, D.M.D.
• Ashley Haraczka
• Trish M. Hartman-Moyer, MSS, LCSW
• Darci J Harvey, PT

• All providers in Douglassville, PA
• Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2023; 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.

Verify at the official NPI Registry.