HARBOR REHABILITATION LLC


Address: 22 Jefferson Ave Se, Grand Rapids, MI 49503-4304
Phone: 6166430833

HARBOR REHABILITATION LLC (NPI# 1689748972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689748972
Entity Type Organization
Organization Name HARBOR REHABILITATION LLC
Other Organization Name HARBOR REHABILITATION INC
Practice Address 22 Jefferson Ave Se
Grand Rapids
MI 49503-4304
Mailing Address Po Box 150272
Grand Rapids
MI 49515-0272
Practice Telephone 6166430833
Practice Fax Number 6166430844
Mailing Telephone 6166430833
Mailing Fax Number 6166430844
Enumeration Date 2006-11-20
Last Update Date 2012-03-14
Authorized Official Name MS. THERESA RENKER (DIRECTOR)
Authorized Official Telephone 6166430833
Authorized Official Credential MS CCC SLP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Other Provider/Organization Names

Other Name Type Code
HARBOR REHABILITATION INC Former Legal Business Name - Organization

Office Location

Street Address 22 JEFFERSON AVE SE
City GRAND RAPIDS
State MI
Zip Code 49503-4304

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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

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.

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