Active NPI
Marina Rehabilitation and Health Services
- Durable Medical Equipment & Medical Supplies
- Rochester, MI
National Provider Identifier
1477581486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 5501005736
- Legal business name
- MARINA REHABILITATION AND HEALTH SERVICES
- Practice address
- 1050 W University Dr
Suite 3
Rochester, MI 48307-1877 - Phone
- (248) 650-1984
- NPI assigned
- Jun 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samir Hanna
- Title
- Owner
- Phone
- (248) 650-1984
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5501005736 | MI | Primary |
Addresses
Primary practice location
1050 W University Dr
Suite 3
Rochester, MI 48307-1877
Mailing address
1050 W University Dr
Suite 3
Rochester, MI 48307-1877
Phone (248) 650-1984
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460114387 | Medicaid | MI | |
| 540F322220 | Other | MI | BCBS DME |
National Provider Directory
National Provider Directory- Tax ID family
- Marina Rehabilitation and Health Service
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Rochester, MI
- NPI 1902875941
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Rochester, MI
- NPI 1750575486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287964800000",
"number": "1477581486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W UNIVERSITY DR",
"address_2": "SUITE 3",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071877",
"telephone_number": "248-650-1984",
"fax_number": "248-650-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W UNIVERSITY DR",
"address_2": "SUITE 3",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071877",
"telephone_number": "248-650-1984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARINA REHABILITATION AND HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2010-10-25",
"status": "A",
"authorized_official_last_name": "HANNA",
"authorized_official_first_name": "SAMIR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-650-1984"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": "5501005736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "460114387",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DME",
"identifier": "540F322220",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.