NOVACARE OUTPATIENT REHABILITATION EAST, INC. (NPI# 1366084402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366084402 |
| Entity Type | Organization |
| Organization Name | NOVACARE OUTPATIENT REHABILITATION EAST, INC. |
| Practice Address |
16366 County Road 30 Maple Grove MN 55311-1207 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 7635590356 |
| Practice Fax Number | 7635595193 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | Y |
| Parent Organization Name | SELECT MEDICAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| NovaCare Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1174120448 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 14953 Kutztown Rd Ste 1, Kutztown, PA 19530-8381 | 2020-10-08 |
| 1760024756 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 3960 Coon Rapids Blvd Nw Ste 311, Coon Rapids, MN 55433-2598 | 2019-10-11 |
| 1386295210 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 641 W 9 Mile Rd Ste D, Ferndale, MI 48220-1779 | 2019-09-23 |
| 1710537097 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 19 W Highland Ave, Philadelphia, PA 19118-3309 | 2019-09-18 |
| 1588218044 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 30 Liberty Boulevard, Suite 140, Malvern, PA 19355 | 2019-08-01 |
| 1497367551 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 2733 Papermill Rd, Wyomissing, PA 19610-3339 | 2020-08-20 |
| 1215556998 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1385 Phalen Boulevard, St. Paul, MN 55106 | 2020-04-13 |
| 1114559499 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 3942 Davis Stuart Rd Ste 3, Ronceverte, WV 24970-0269 | 2020-02-05 |
| 1720620867 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 6605 Nicollet Ave, Richfield, MN 55423-2463 | 2019-10-10 |
| Street Address |
16366 COUNTY ROAD 30 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55311-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609391374 | Deborah Lynn Higgins | Foster Care Agency | 8288 Revelwood Place, Maple Grove, MN 55311 | 2017-08-03 |
| 1013457993 | Trillium Chiropractic & Wellness Pa | Chiropractor | 13700 Reimer Dr Suite 250, Maple Grove, MN 55311 | 2017-02-27 |
| 1720535263 | Fischer Vision PC | Optometrist | 13334 Bass Lake Road North, Maple Grove, MN 55311 | 2016-09-01 |
| 1033571062 | Iman Dadras Konestani | Marriage & Family Therapist | 9325 Garland Lane N Apt 108, Mapple Grove, MN 55311 | 2016-03-29 |
| 1902272685 | Todd Archbold | Social Worker | 18153 80th Pl N, Maple Grove, MN 55311 | 2015-08-17 |
| 1144634395 | Petersen Chiropractic Inc. | Chiropractor | 9505 Blackoaks Ln No., Maple Grove, MN 55311 | 2014-06-16 |
| 1972738276 | Sara Jean Bidler | Marriage & Family Therapist | 7026 E Fish Lake Rd, Maple Grove, MN 55311 | 2009-05-16 |
| 1962670026 | Helminger Chiropractic, P.a. | Chiropractor | 9479 Garland Lane North, Maple Grove, MN 55311 | 2008-02-12 |
| 1457579450 | Cynthia C Cassel | Physician Assistant | 6300 Wedgewood Way, Maple Grove, MN 55311 | 2007-04-23 |
| 1386860732 | Thomas Triden | Chiropractor | 7494 East Fish Lake Road, Maple Grove, MN 55311 | 2007-04-17 |
| Find all providers in zip 55311 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013498914 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 16500 92nd Ave N, Maple Grove, MN 55311-5444 | 2018-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024756 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 3960 Coon Rapids Blvd Nw Ste 311, Coon Rapids, MN 55433-2598 | 2019-10-11 |
| 1427576727 | Ne Community Acupuncture & Wellness Center LLC | Clinic/Center | 1224 2nd St Ne # 200, Minneapolis, MN 55413-1130 | 2017-09-07 |
| 1326589714 | Cognitive Ventures Vadnais Heights LLC | Clinic/Center | 3555 Willow Lake Blvd Ste 180, Vadnais Heights, MN 55110-4462 | 2017-03-17 |
| 1265791503 | Dynamic Connections, Inc. | Clinic/Center | 2495 Maplewood Dr Ste 312, Maplewood, MN 55109-1985 | 2012-05-07 |
| 1063786689 | River Restorative Therapies LLC | Clinic/Center | 14166 Quince St Nw, Andover, MN 55304-4137 | 2012-02-29 |
| 1013244110 | Muellers Sensory Works LLC | Clinic/Center | 2132 Hoffman Rd, Mankato, MN 56001-5863 | 2009-11-10 |
| 1982842936 | Open Hands Health Services LLC | Clinic/Center | 730 S Benton Dr, Sauk Rapids, MN 56379-1274 | 2009-01-29 |
| 1154577906 | Healthy Returns of Minnesota Inc | Clinic/Center | 20836 Glacier Dr, Park Rapids, MN 56470-5275 | 2008-08-12 |
| 1992986194 | Body Whispers Therapy LLC | Clinic/Center | 3220 Rice St, Saint Paul, MN 55126-3047 | 2007-11-16 |
| 1477640613 | Functional Integrated Therapy, Ltd | Clinic/Center | 2495 Maplewood Drive, Suite 313, Maplewood, MN 55109-1913 | 2006-10-09 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55311 |
Please comment or provide details below to improve the information on NOVACARE OUTPATIENT REHABILITATION EAST, INC..
| 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.