VITAL CARE REHABILITATION LLC NPI 1265479406

NPI Information

NPI: 1265479406
Provider Name: VITAL CARE REHABILITATION, LLC
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
14545 W GRAND AVE
SUITE 108
SURPRISE, AZ
ZIP 85374
Phone: (623) 544-0300
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VITAL CARE REHABILITATION, LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Surprise, AZ. VITAL CARE REHABILITATION, LLC NPI is 1265479406. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14545 W GRAND AVE
SUITE 108
SURPRISE, AZ
ZIP 85374-278
Phone: (623) 544-0300
Fax: (623) 544-0239

The provider's authorized official is Andrea J Mcwhorter .
The authorized official title is Administrator and has the following contact phone number (623) 544-0300.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 10/29/2013.

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	225100000X	Physical Therapist				No
2	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)		ARIZONA	Yes

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	034509	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	MEDICARE PROVIDER NUMBER

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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