Organization Active NPI

Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Swansea, IL
National Provider Identifier
1437323367
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
REHABCARE GROUP EAST, LLC
Practice address
15 Bronze Pointe N Ste B
Swansea, IL 62226
Phone
(618) 235-6814
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Mr. Terrance K. Dillon
Title
Assistant Secretary
Phone
(502) 596-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

15 Bronze Pointe N Ste B
Swansea, IL 62226

Mailing address

15 Bronze Pointe N Ste B
Swansea, IL 62226-1197
Phone (618) 235-6814

Other names 1

  • RehabCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080730000286 IL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0042128894 Practice locations: Belleville, IL; Godfrey, IL

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Rehabcare Group Inc46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 48)

1825 I St NW
Washington, DC 20006

8220 S Jog Rd
Boynton Beach, FL 33472
Phone (561) 327-9408

2000 Principal Ln
Fort Walton Beach, FL 32547
Phone (850) 243-7735

243 Hollywood Blvd NW
Fort Walton Beach, FL 32548
Phone (850) 601-9133

1035 Starratt Rd
Jacksonville, FL 32218
Phone (832) 506-3504

4455 Merrimac Ave
Jacksonville, FL 32210
Phone (904) 389-5959

955 N US Highway 27/441
Lady Lake, FL 32159

3343 Berryhill Rd
Pace, FL 32571
Phone (850) 736-6243

24949 Sandhill Blvd
Punta Gorda, FL 33983
Phone (941) 205-2180

3917 Riga Blvd
Tampa, FL 33619

833 E Lake Rd N
Tarpon Springs, FL 34688
Phone (727) 202-9314

2901 Jacaranda Blvd
Venice, FL 34293
Phone (941) 205-2180

304 E 3rd St
Alton, IL 62002

151 Denny Dr
Anna, IL 62906

100 S Towanda Barnes Rd
Bloomington, IL 61705

1005 N Towanda Barnes Rd
Bloomington, IL 61705

1155 N 1st St
Breese, IL 62230
Phone (618) 526-4521

505 Rushing Dr
Carterville, IL 62918
Phone (618) 305-0958

136 S Dipper Ln
Decatur, IL 62522
Phone (217) 428-7767

379 Fountains Pkwy
Fairview Hts, IL 62208
Phone (618) 235-6600

2235 Pontoon Rd
Granite City, IL 62040

300 N Marietta St
Greenup, IL 62428
Phone (217) 347-5000

1000 W Sloan St
Harrisburg, IL 62946
Phone (618) 252-0351

505 Rushing Dr
Herrin, IL 62948

400 Lou Ann Dr
Herrin, IL 62948
Phone (618) 993-4024

Practitioners & affiliated clinicians

Practitioners 61

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1437323367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRONZE POINTE N STE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261197",
            "telephone_number": "618-235-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BRONZE POINTE N STE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "62226",
            "telephone_number": "618-235-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABCARE GROUP EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RehabCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RehabCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.