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AT HOME REHAB LLC NPI 1912139288


NPI Information

NPI: 1912139288
Provider Name: AT HOME REHAB, LLC
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
5088 CORPORATE EXCHANGE BLVD SE
STE. 350
GRAND RAPIDS, MI
ZIP 49512
Phone: (800) 880-9715
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AT HOME REHAB, LLC is a home health in Grand Rapids, MI. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. AT HOME REHAB, LLC NPI is 1912139288. The provider is registered as an organization entity type.

The provider's business location address is:

5088 CORPORATE EXCHANGE BLVD SE
STE. 350
GRAND RAPIDS, MI
ZIP 49512-517
Phone: (800) 880-9715
Fax: (800) 880-9715

The provider's authorized official is Tara L Anderson .
The authorized official title is Ceo and has the following contact phone number (800) 880-9715.

The enumeration date for this NPI number is 8/19/2009 and was last updated on 3/5/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1239184MEDICARE OSCAR/CERTIFICATIONMICHIGAN

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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