Organization Active NPI

Laurel Rehabilitation Services, Inc.

  • Case Management Agency
  • Haddon Township, NJ
National Provider Identifier
1811184997
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LAUREL REHABILITATION SERVICES, INC.
Practice address
216 Haddon Avenue
Suite 702
Haddon Township, NJ 08108-2815
Phone
(856) 869-7360
Fax
(856) 869-7364
NPI assigned
Oct 2, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Ms. Patricia Deffler, RN, CCM, CDMS
Title
President
Phone
(856) 869-7360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NJ Primary

Addresses

Primary practice location

216 Haddon Avenue
Suite 702
Haddon Township, NJ 08108-2815

Mailing address

216 Haddon Avenue
Suite 702
Haddon Township, NJ 08108-2815
Phone (856) 869-7360

Other identifiers 1

IdentifierTypeStateIssuer
556220101MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1811184997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 HADDON AVENUE",
            "address_2": "SUITE 702",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082815",
            "telephone_number": "856-869-7360",
            "fax_number": "856-869-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 HADDON AVENUE",
            "address_2": "SUITE 702",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082815",
            "telephone_number": "856-869-7360",
            "fax_number": "856-869-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "DEFFLER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-869-7360",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, CCM, CDMS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "556220101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.