PROFESSIONAL CARE REHAB LLC (NPI# 1598219180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598219180 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL CARE REHAB LLC |
| Practice Address |
17707 Fenkell St Detroit MI 48227-1513 |
| Mailing Address |
2155 N Lovington Dr Apt 207 Troy MI 48083-5804 |
| Practice Telephone | 8134761780 |
| Mailing Telephone | 8134761780 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |
| Authorized Official Name | MRS. THIRUPATHI REDDY ALLALA (RPT) |
| Authorized Official Telephone | 8134761780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
5501014432 | MI | Ambulatory Health Care Facilities |
| Street Address |
17707 FENKELL ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48227-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144767690 | Massage Matters Michigan LLC | Preferred Provider Organization | 17707 Fenkell St, Detroit, MI 48227-1513 | 2017-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215493549 | Sammie Edwards | Counselor | 15734 Sussex St, Detroit, MI 48227 | 2019-02-12 |
| 1124505698 | Unique Home of Love | Home Health | 15380 Snowden St, Detroit, MI 48227 | 2018-07-26 |
| 1386150977 | Saterra Squalls | Licensed Practical Nurse | 202048 Wyoming St., Detroit, MI 48227 | 2017-12-19 |
| 1952822967 | Extremely Blessed LLC | Non-emergency Medical Transport (VAN) | 11341 Longacre, Detroit, MI 48227 | 2017-06-29 |
| 1669920070 | Gina Clark-alexander | Technician, Other | 14271 Coyle St, Detroit, MI 48227 | 2016-09-14 |
| 1619423613 | Rala Jenice Ford | Behavioral Analyst | 15461 Whitcomb, Detroit, MI 48227 | 2016-08-30 |
| 1376927442 | Rena Adell Jackson | Homeopath | 14881greenfield Rd, Detroit, MI 48227 | 2015-07-17 |
| 1104226786 | Loving Heart Home Care | In Home Supportive Care | 12875 Archdale, Detroit, MI 48227 | 2014-09-02 |
| 1205265709 | Edward Cornelius Simmons | Massage Therapist | 15756 Forrer Street, Detroit, MI 48227 | 2013-11-05 |
| 1851641286 | Green Meadows Outreach Ministries | Case Management | 15901 Rutherford Street, Detroit, MI 48227 | 2012-09-13 |
| Find all providers in zip 48227 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034710 | Personalize Advance Therapy Services | Clinic/Center | 4777 E Outer Dr Fl Ge, Detroit, MI 48234-3241 | 2020-02-10 |
| 1174162812 | District Physical Therapy LLC | Clinic/Center | 5157 Stanton St, Detroit, MI 48208-2063 | 2019-12-28 |
| 1881193514 | Detroit Healing Hands Physical Therapy Center, LLC | Clinic/Center | 19522 W Mcnichols Rd Ste E, Detroit, MI 48219-4090 | 2018-02-08 |
| 1538674841 | Axxess Physical Therapy and Rehab Lp | Clinic/Center | 19915 James Couzens Fwy, Detroit, MI 48235-1840 | 2017-12-08 |
| 1841723806 | Sunshine Physical Therapy, LLC | Clinic/Center | 11220 E Jefferson Ave, Detroit, MI 48214-3320 | 2017-04-06 |
| 1720439912 | Amex Rehabilitation Inc | Clinic/Center | 16143 W Warren Ave, Detroit, MI 48228-3762 | 2016-06-29 |
| 1558722629 | Courageous Inc | Clinic/Center | 12925 Auburn St, Detroit, MI 48223-3400 | 2016-03-16 |
| 1285975227 | Okezie Wachuku | Clinic/Center | 8904 Woodward Ave # 104, Detroit, MI 48202-1821 | 2013-03-14 |
| 1497008387 | Kathelene's Mobility Rehab Services, P.C. | Clinic/Center | 14219 W. Mc Nichols, Suite B, Detroit, MI 48235 | 2012-10-17 |
| 1497020978 | Success Therapy Services | Clinic/Center | 20055 Southfield Fwy, Detroit, MI 48235-2278 | 2012-03-15 |
| Find all providers in DETROIT | ||||
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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.