Advanced Rehabilitation Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002755A Issued in IN

Legal business name

ADVANCED REHABILITATION CENTER

Practice address

908 E Ireland Rd
South Bend, IN 46614-2664

Phone

(574) 222-2886

NPI assigned

Apr 8, 2014

Last updated

Apr 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joel Jordan

Title

Chiropractor

Phone

(574) 222-2886

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Andrew Goul, D.C.

  • Chiropractor
  • South Bend, IN
  • NPI 1770854119
  NPD (past)

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1669891586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 E IRELAND RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 E IRELAND RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142664",
            "telephone_number": "574-222-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "574-222-2886"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002755A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Center for Cardiothoracic Surgery LLC
• Advanced Medical Computing Inc
• Advanced Ophthalmology of Michiana LLC
• Advanced Ophthalmology of Michiana LLC (B & G Eye Care)
• Advanced Physical Therapy, LLC
• Afc Psychological Services, LLC (Alexandra Corning & Associates Psychological Services)
• Yamna Matin Afridi
• Alice Nshamamba Aganze
• Mabel R Aghimien, MSW
• Victoria Agnew

• Chiropractor in South Bend, IN
• Providers in South Bend, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.