SHC Rehab, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

SHC REHAB, LLC

Practice address

400 E Howry Ave
Deland, FL 32724

Phone

(386) 873-2903

Fax

(386) 873-2911

NPI assigned

Dec 21, 2010

Organization subpart

No

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

Addresses

Other names 1

• Bodymax Physical Therapy Doing business as

Member of 1

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

• Senior Home Care, Inc.

  • Home Health Agency
  • Pensacola, FL
  • NPI 1437100450

  Member Of

  NPD member

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1609179282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E HOWRY AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32724",
            "telephone_number": "386-873-2903",
            "fax_number": "386-873-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHC REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2019-01-15",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bodymax Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bodymax Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brad Alan Shallow, DC
• Shanon River Holdings Inc
• Mohan L Sharma, MD
• Karen Lynn Sharpe
• Michael Edward Sharpe
• Jill Lynn Sheldon, LCSW
• Amita Yeshwant Shenoy
• Ella Shepherd
• Sutton Lynn Shepherd, MA
• Steven Shinn, M.D.

• Rehabilitation Clinic/Center in Deland, FL
• Providers in Deland, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.