HEALTH POCONOS INC. NPI 1689707549

NPI Information

  • NPI: 1689707549
  • Provider Name: HEALTH POCONOS, INC.
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Doing Business As: RIVERSIDE REHABILITATION CENTER
  • Address: 100 COMMUNITY DR
    SUITE 105
    TOBYHANNA, PA
    ZIP 18466
  • Phone: (570) 839-9975

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NPI Details

HEALTH POCONOS, INC. is a rehabilitation clinic center in Tobyhanna, PA. HEALTH POCONOS, INC. NPI is 1689707549. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverside Rehabilitation Center.

The provider's business location address is:

100 COMMUNITY DR
SUITE 105
TOBYHANNA, PA
ZIP 18466-985
Phone: (570) 839-9975
Fax: (570) 839-9274

The provider's authorized official is Donna J Maassen .
The authorized official title is Compliance Director and has the following contact phone number (414) 908-8119.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 6/29/2012.

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
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)No
2261QR0400XClinic/CenterRehabilitationYes

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
1394532MEDICARE ID-TYPE UNSPECIFIED
2396850MEDICARE OSCAR/CERTIFICATION
31467795MEDICAIDPENNSYLVANIA

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: 11/21/2025

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