INNOVATIVE REHABILITATION LLC NPI 1114260494

NPI Information

NPI: 1114260494
Provider Name: INNOVATIVE REHABILITATION LLC
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
5146 W WHISPERING WIND DR
GLENDALE, AZ
ZIP 85310
Phone: (623) 738-0479
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INNOVATIVE REHABILITATION LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Glendale, AZ. INNOVATIVE REHABILITATION LLC NPI is 1114260494. The provider is registered as an organization entity type.

The provider's business location address is:

5146 W WHISPERING WIND DR
GLENDALE, AZ
ZIP 85310-910
Phone: (623) 738-0479
Fax: (623) 738-0479

The provider's authorized official is Charles Robert Guzman .
The authorized official title is President and has the following contact phone number (602) 300-3391.

The enumeration date for this NPI number is 4/4/2013 and was last updated on 7/29/2013.

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	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	OTC5691	ARIZONA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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