RADICAL REHAB SOLUTIONS LLC NPI 1467669226

NPI Information

NPI: 1467669226
Provider Name: RADICAL REHAB SOLUTIONS, LLC
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
314 9TH ST
HUNTINGTON, WV
ZIP 25701
Phone: (304) 781-2510
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RADICAL REHAB SOLUTIONS, LLC is a residential treatment facility physical disabilities in Huntington, WV. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. RADICAL REHAB SOLUTIONS, LLC NPI is 1467669226. The provider is registered as an organization entity type.

The provider's business location address is:

314 9TH ST
HUNTINGTON, WV
ZIP 25701-436
Phone: (304) 781-2510
Fax: (304) 525-3311

The provider's authorized official is James Frederick Phifer .
The authorized official title is Executive Director and has the following contact phone number (304) 781-2510.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	320700000X	Residential Treatment Facility, Physical Disabilities	Yes
2	320800000X	Community Based Residential Treatment Facility, Mental Illness	X
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03810	OTHER	WEST VIRGINIA	W V WORKER'S COMP
2	1700045600	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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