NPIMap

Organization Active NPI

Community Rehabilitation Services,PC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Rose City, MI
National Provider Identifier
1669424776
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
COMMUNITY REHABILITATION SERVICES,PC
Practice address
600 Bennett St
Rose City, MI 48654-9553
Phone
(989) 685-8821
Fax
(989) 685-8472
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Sharon Isaac
Title
Manager
Phone
(989) 685-8821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

600 Bennett St
Rose City, MI 48654-9553

Mailing address

600 Bennett St
P.O.Box 362
Rose City, MI 48654-9553
Phone (989) 685-8821

Other identifiers 1

IdentifierTypeStateIssuer
4687246MedicaidMI

National Provider Directory

National Provider Directory

Locations

406 S Washington St
Hale, MI 48739
Phone (989) 728-5555

600 Bennett St
Rose City, MI 48654
Phone (989) 685-8821

2430 N Saint Helen Rd
Saint Helen, MI 48656
Phone (989) 389-7333

105 W Houghton Ave
West Branch, MI 48661
Phone (989) 343-9755

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1669424776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BENNETT ST",
            "address_2": "P.O.BOX 362",
            "city": "ROSE CITY",
            "state": "MI",
            "postal_code": "486549553",
            "telephone_number": "989-685-8821",
            "fax_number": "989-685-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BENNETT ST",
            "city": "ROSE CITY",
            "state": "MI",
            "postal_code": "486549553",
            "telephone_number": "989-685-8821",
            "fax_number": "989-685-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY REHABILITATION SERVICES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "989-685-8821"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4687246",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rose City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.