RIVER DISTRICT REHABILITATION, LLC (NPI# 1043548563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043548563 |
| Entity Type | Organization |
| Organization Name | RIVER DISTRICT REHABILITATION, LLC |
| Practice Address |
119 N Wyman St Rockford IL 61101-1107 |
| Mailing Address |
12402 Tweed Dr Loves Park IL 61111-8959 |
| Practice Telephone | 8159774490 |
| Practice Fax Number | 8159774594 |
| Mailing Telephone | 8158852820 |
| Mailing Fax Number | 8159774594 |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |
| Authorized Official Name | MR. EDWIN BATIFORA DISTRITO (OWNER) |
| Authorized Official Telephone | 8158852820 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 1990943 | IL | Managed Care Organizations |
| Street Address |
119 N WYMAN ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61101-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417338799 | Latavia Shantaye Agada | Social Worker | 2823 Glenwood Ave., Rockford, IL 61101 | 2015-06-12 |
| 1013397561 | Charlene Donahoe | Student in an Organized Health Care Education/Training Program | 235 Wyman St, Rockford, IL 61101 | 2015-05-30 |
| 1205238623 | Crusaders Central Clinic Association | Clinic/Center | 1002 N Pierpont Ave, Rockford, IL 61101 | 2014-09-17 |
| 1780717454 | Hearing Pros Inc | Audiologist | 3902 West Riverside Blvd, In Wal Mart, Rockford, IL 61101 | 2007-03-13 |
| 1821156951 | Neurological Clinic of Rockford Sc | Neurological Surgery | 2825 Glenwood Avenue, Rockford, IL 61101 | 2006-12-04 |
| 1265470496 | Daniel Sommer | Social Worker | 2823 Glenwood Avenue, Rockford, IL 61101 | 2006-06-02 |
| 1508093253 | Patricia Kroll | Social Worker | 526 W State Street, Rockford, IL 61101 | 2009-06-19 |
| 1346462330 | Carol J O'haron | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1356563332 | Lynn E Cadmus | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1083836928 | Carol L Craig | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| Find all providers in zip 61101 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083905467 | International Dental Center | Point of Service | 3502 E State St, Rockford, IL 61108-1914 | 2011-04-20 |
| 1891991550 | Grand Victorian of Rockford, LLC | Point of Service | 3495 Mcfarland Rd, Rockford, IL 61114-5609 | 2007-06-21 |
| 1730458878 | Global Dental Center Inc | Point of Service | 3502 E State St, Rockford, IL 61108-1914 | 2011-12-19 |
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| 1184192643 | Luann Bauer | Point of Service | 63 N Williams St, Crystal Lake, IL 60014-4443 | 2018-11-02 |
| 1033590427 | Interstate Phlebotomy Services Inc | Point of Service | 3200 Drover Ln, Darien, IL 60561-1642 | 2015-06-11 |
| 1699182642 | In Home Counseling for Seniors | Point of Service | 2318 N Lowell Ave, Chicago, IL 60639-3520 | 2014-07-22 |
| 1972934610 | Center for Vitality and Balance, LLC | Point of Service | 1280 Iroquois Ave Ste 404, Naperville, IL 60563-8570 | 2013-12-05 |
| 1720419732 | The Excellence Group, LLC | Point of Service | 1102 E 46th St Unit 202, Chicago, IL 60653-4435 | 2013-12-02 |
| 1457781916 | Applied Behavior Interventions | Point of Service | 219 N Oak Park Ave, Oak Park, IL 60302-2151 | 2013-11-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.