1831461201 NPI number — INSPIRATIONS REHAB INC

Table of content: (NPI 1831461201)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831461201 NPI number — INSPIRATIONS REHAB INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INSPIRATIONS REHAB INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831461201
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/06/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20319 FARMINGTON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LIVONIA
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48152-1411
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-476-6080
Provider Business Mailing Address Fax Number:
248-476-6025

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20319 FARMINGTON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LIVONIA
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48152-1411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-476-6080
Provider Business Practice Location Address Fax Number:
248-476-6025
Provider Enumeration Date:
02/01/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MANIMALETHU
Authorized Official First Name:
TOBY
Authorized Official Middle Name:
RAJU
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
248-819-1100

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1811056328 . This is a "NPI OF RAMESH MALLADI, RPT" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 1891025193 . This is a "NPI OF SANDHYA KORIPALLI CHIRANJEEVI, RPT" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 1023177474 . This is a "NPI OF SAKINA BOHRA,RPT" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 1043309966 . This is a "NPI OF TOBY MANIMALETHU,RPT" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 1700945235 . This is a "NPI OF DEEPAK SEBASTIAN, RPT" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 1982786554 . This is a "NPI OF RAGHU CHOVVATH, RPT" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".