NOVACARE OUTPATIENT REHABILITATION EAST INC (NPI# 1962610923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962610923 |
| Entity Type | Organization |
| Organization Name | NOVACARE OUTPATIENT REHABILITATION EAST INC |
| Other Organization Name | NOVACARE REHABILITATION |
| Practice Address |
925 E Superior St Suite 107 Duluth MN 55802-2238 |
| Mailing Address |
4716 Gettysburg Rd Legal Department Mechanicsburg PA 17055-4325 |
| Practice Telephone | 2187281100 |
| Practice Fax Number | 2187281316 |
| Mailing Telephone | 7179754503 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-03-14 |
| Authorized Official Name | MICHAEL E TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179754503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| NovaCare Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1750548970 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 1105 Elizabeth Ave, Laureldale, PA 19605-2632 | 2008-05-16 |
| 1417128695 | Novacare Outpatient Rehabilitation East Inc | Durable Medical Equipment & Medical Supplies | 600 County Rd 75, Clearwater, MN 55320 | 2008-03-17 |
| 1063620672 | Novacare Outpatient Rehabilitation East Inc | Durable Medical Equipment & Medical Supplies | 8290 University Avenue Nw, Suite 300, Fridley, MN 55432 | 2007-05-18 |
| 1396747911 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | Tipton Medical and Diagnostic Center, Building II, Route 220, Tipton, PA 16684 | 2005-08-12 |
| 1770582660 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 5 S 3rd St, Clearfield, PA 16830-2324 | 2005-07-21 |
| 1629077599 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 50 E Wylie Ave, Washington, PA 15301-2002 | 2005-07-21 |
| 1073512968 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 78 Second Avenue, Collegeville, PA 19426 | 2005-07-21 |
| 1235138124 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 412 Huntingdon Pike, Rockledge, PA 19046-4448 | 2005-07-21 |
| 1144229030 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 1717 East 38th Street, Erie, PA 16504-2920 | 2005-07-21 |
| Street Address |
925 E SUPERIOR ST SUITE 107 |
| City | DULUTH |
| State | MN |
| Zip Code | 55802-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336126317 | Fredrick E Ekberg | Radiology | 925 E Superior St, Suite 109, Duluth, MN 55802-2238 | 2005-12-29 |
| 1659600435 | Christopher Mark Reilly | Radiology | 925 E Superior St, Ste 109, Duluth, MN 55802-2238 | 2009-12-08 |
| 1023297017 | Rebecca Lynn Kuntz | Radiology | 925 E Superior St, Suite 109, Duluth, MN 55802-2238 | 2007-10-26 |
| 1629287792 | Home Dialysis Duluth Kidney Services | Internal Medicine | 925 E Superior St, Suite 106, Duluth, MN 55802-2238 | 2007-05-22 |
| 1881733061 | James T Jarosz | Dentist | 925 E Superior St, Suite 101, Duluth, MN 55802-2238 | 2007-02-05 |
| 1295880045 | Kathrynne Marie Dryke | Dentist | 925 E Superior St, 101, Duluth, MN 55802-2238 | 2007-01-24 |
| 1932256948 | Mary S Nett | Radiology | 925 E Superior St, Suite 109, Duluth, MN 55802-2238 | 2007-01-04 |
| 1174670186 | William E. Johnson | Radiology | 925 E Superior St, Suite109, Duluth, MN 55802-2238 | 2007-01-04 |
| 1912932922 | Calvin Cardin Loken | Specialist | 925 E Superior St, Duluth, MN 55802-2238 | 2006-07-11 |
| 1003848375 | Gentiva Certified Healthcare Corp. | Home Health | 925 E Superior St, Suite 104, Duluth, MN 55802-2253 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205475936 | Divine Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 3502 Satellite Blvd Ste 6, Duluth, GA 30096-5820 | 2019-12-28 |
| 1285296533 | Sunae Hyun Lee | Durable Medical Equipment & Medical Supplies | 2550 Pleasant Hill Rd Ste 106, Duluth, GA 30096-4153 | 2019-07-07 |
| 1851852651 | Rh Allergy Acquisition, LLC. | Durable Medical Equipment & Medical Supplies | 3575 Koger Blvd Ste 240, Duluth, GA 30096-4958 | 2019-03-26 |
| 1073000782 | Remedi Medical Solutions | Durable Medical Equipment & Medical Supplies | 3675 Crestwood Pkwy Nw Ste 500, Duluth, GA 30096-5054 | 2018-04-18 |
| 1871956409 | Wilmington Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 3805 Crestwood Pkwy Nw Ste 100, Duluth, GA 30096-7106 | 2016-03-31 |
| 1952715096 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1215 E Superior St, Duluth, MN 55802-2218 | 2014-06-17 |
| 1225380454 | Unique Beauty & Hair Supply LLC | Durable Medical Equipment & Medical Supplies | 115 N 3rd Ave W, Duluth, MN 55802-1600 | 2012-10-11 |
| 1093060725 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 4528 Grand Ave, Duluth, MN 55807-2740 | 2012-07-18 |
| 1336441088 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1609 Kenwood Ave, Duluth, MN 55811-2221 | 2010-12-01 |
| 1689906729 | Darlene's Hair Stylists | Durable Medical Equipment & Medical Supplies | 1920 W Superior St, Duluth, MN 55806-2141 | 2010-01-30 |
| Find all providers in DULUTH | ||||
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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.