Organization Active NPI

Rehabcare Group East Inc

Doing business as RehabCare Agency MI

  • Rehabilitation Clinic/Center
  • Marine City, MI
National Provider Identifier
1477506624
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
REHABCARE GROUP EAST INC
Doing business as
RehabCare Agency MI
Practice address
540 S Parker St
Suite B
Marine City, MI 48039-3593
Phone
(810) 765-8110
Fax
(810) 765-9811
NPI assigned
May 18, 2006
Last updated
Jul 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Ms. Marilyn A. Weaver
Title
Assistant Secretary
Phone
(502) 596-7300

Specialties & licenses 1

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

Addresses

Primary practice location

540 S Parker St
Suite B
Marine City, MI 48039-3593

Mailing address

540 S Parker St
Suite B
Marine City, MI 48039-3593
Phone (810) 765-8110

Other identifiers 1

IdentifierTypeStateIssuer
4574019MedicaidMI

Other names 1

  • RehabCare Agency MI Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050829000647 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 2860304805 Practice locations: Marine City, MI

National Provider Directory

National Provider Directory

Member of 1

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

Locations

540 S Parker St
Ste B
Marine City, MI 48039
Phone (810) 765-8110

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1477506624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S PARKER ST",
            "address_2": "SUITE B",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480393593",
            "telephone_number": "810-765-8110",
            "fax_number": "810-765-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S PARKER ST",
            "address_2": "SUITE B",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480393593",
            "telephone_number": "810-765-8110",
            "fax_number": "810-765-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABCARE GROUP EAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4574019",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RehabCare Agency MI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marine City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.