NPIMap

Organization Active NPI

Effingham Rehab Services, LLC

  • Rehabilitation Clinic/Center
  • Rincon, GA
National Provider Identifier
1639137128
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
EFFINGHAM REHAB SERVICES, LLC
Practice address
804 Towne Park Dr Ste 400
Rincon, GA 31326
Phone
(912) 826-3797
Fax
(912) 826-9767
NPI assigned
May 3, 2006
Last updated
Dec 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Mr. Brad C. Roush
Title
Executive Vice President
Phone
(419) 221-6712

Specialties & licenses 1

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

Addresses

Primary practice location

804 Towne Park Dr Ste 400
Rincon, GA 31326

Mailing address

1110 Shawnee Rd Ste 206
Lima, OH 45805-3529
Phone (141) 922-1671

Other practice location 1

135 Goshen Road Ext
Ste 206
Rincon, GA 31326-5567
Phone (912) 826-3797

National Provider Directory

National Provider Directory

Locations

13241 Bartram Park Blvd
Bldg 500
Jacksonville, FL 32258
Phone (904) 370-1040

123 Canal St
Ste 203
Pooler, GA 31322
Phone (912) 388-1283

804 Towne Park Dr
Ste 400
Rincon, GA 31326
Phone (912) 826-3797

111 Jazie Dr
Ste E
Savannah, GA 31410
Phone (912) 898-7714

1110 Shawnee Rd
Ste 206
Lima, OH 45805

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1639137128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SHAWNEE RD STE 206",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053529",
            "telephone_number": "141-922-1671",
            "fax_number": "912-826-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 TOWNE PARK DR STE 400",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "31326",
            "telephone_number": "912-826-3797",
            "fax_number": "912-826-9767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Goshen Road Ext",
            "address_2": "Ste 206",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "313265567",
            "country_code": "US",
            "telephone_number": "912-826-3797",
            "fax_number": "912-826-9767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EFFINGHAM REHAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "ROUSH",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "419-221-6712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.