ADVANTAGE REHAB, INC. (NPI# 1255460366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255460366 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE REHAB, INC. |
| Other Organization Name | ADVANTAGE REHAB |
| Practice Address |
4600b Montgomery Blvd Ne Suite 202 Albuquerque NM 87109-1218 |
| Practice Telephone | 5058280232 |
| Practice Fax Number | 5058231051 |
| Mailing Telephone | 5058280232 |
| Mailing Fax Number | 5058231051 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2009-03-16 |
| Authorized Official Name | ROBERT JEREMY MARTIN (PRESIDENT) |
| Authorized Official Telephone | 5058280232 |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANTAGE HOME CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 85382027 | NM | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 85382027 | 05 |
| Other Name | Type Code |
|---|---|
| Advantage Rehab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134423189 | Advantage Rehab, Inc. | Physical Therapist | 103 S. 7th Street, Denton, MD 21629 | 2011-01-05 |
| Street Address |
4600B MONTGOMERY BLVD NE SUITE 202 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497717078 | Kristina N Sanchez | Phlebology | 4600b Montgomery Blvd Ne, Ste 100, Albuquerque, NM 87109 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021327 | Creative Work Solutions LLC | Day Training, Developmentally Disabled Services | 5338 Montgomery Blvd Ne Ste 400, Albuquerque, NM 87109-1342 | 2019-06-06 |
| 1881157683 | All About Us, LLC | Day Training, Developmentally Disabled Services | 1020 Edith Blvd Se Ste B-1, Albuquerque, NM 87102-4409 | 2019-04-09 |
| 1790167765 | Afrodite Fioravantes | Day Training, Developmentally Disabled Services | 6412 Cathy Ave Ne, Albuquerque, NM 87109-3642 | 2015-06-25 |
| 1336549278 | Artisan The Art of Instruction Inc | Day Training, Developmentally Disabled Services | 10335 Marin Dr Nw, Albuquerque, NM 87114-4194 | 2014-08-28 |
| 1750701462 | Lsg and Associates LLC | Day Training, Developmentally Disabled Services | 600 Camino Espanol Nw, Albuquerque, NM 87107-5817 | 2014-04-21 |
| 1386072866 | Bridges | Day Training, Developmentally Disabled Services | 1509 Los Jardines Place, Albuquerque, NM 87104 | 2013-10-22 |
| 1033456538 | Theyjas | Day Training, Developmentally Disabled Services | 9951 Carmel Ave Ne, Albuquerque, NM 87122-3037 | 2013-01-04 |
| 1255602090 | Evanna Rose Romero | Day Training, Developmentally Disabled Services | 9900 Spain Rd Ne Apt V2120, Albuquerque, NM 87111-8611 | 2012-01-25 |
| 1386933620 | A Center for Function and Creativity | Day Training, Developmentally Disabled Services | 10701 Corrales Blvd Nw, Suite 17, Albuquerque, NM 87114-1087 | 2011-04-06 |
| 1093011470 | New Dawn Caregivers | Day Training, Developmentally Disabled Services | 10624 Walnut Canyon Rd Sw, Albuquerque, NM 87121-2649 | 2011-02-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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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.