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NEW ENGLAND REHABILITATION HOSPITAL OF PORTLAND LLC NPI 1194799023


NPI Information

NPI: 1194799023
Provider Name: NEW ENGLAND REHABILITATION HOSPITAL OF PORTLAND, LLC

Doing Business As: NEW ENGLAND REHABILITATION HOSPITAL OF PORTLAND, A JOINT VENTURE

Classification: Rehabilitation Hospital - 283X00000X
Entity Type: Organization

CLIA Number: 20D0649495

Address:
335 BRIGHTON AVE STE 201
PORTLAND, ME
ZIP 04102
Phone: (207) 775-4000
Get Directions

NEW ENGLAND REHABILITATION HOSPITAL OF PORTLAND, LLC is a rehabilitation hospital in Portland, ME. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. NEW ENGLAND REHABILITATION HOSPITAL OF PORTLAND, LLC NPI is 1194799023. The provider is registered as an organization entity type.
The provider Is Doing Business As New England Rehabilitation Hospital Of Portland, A Joint Venture.

The provider's business location address is:

335 BRIGHTON AVE STE 201
PORTLAND, ME
ZIP 04102-374
Phone: (207) 775-4000
Fax: (207) 662-8446

The provider's authorized official is Robert Wisner .
The authorized official title is Vice President and has the following contact phone number (205) 967-7116.

The CLIA number assigned to this NPI record is 20D0649495 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2006 and was last updated on 11/27/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283X00000XRehabilitation Hospital34370MAINEYes

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

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