1023134004 NPI number — AMERICAN REHAB EQUIPMENT CO

Table of content: (NPI 1023134004)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023134004 NPI number — AMERICAN REHAB EQUIPMENT CO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN REHAB EQUIPMENT CO
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:
1023134004
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/17/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9730 MLK JR HWY
Provider Second Line Business Mailing Address:
E
Provider Business Mailing Address City Name:
LANHAM
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20706
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-322-8696
Provider Business Mailing Address Fax Number:
301-322-7565

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3321 75TH AVE
Provider Second Line Business Practice Location Address:
STE F
Provider Business Practice Location Address City Name:
LANDOVER
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20785-1519
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-322-8696
Provider Business Practice Location Address Fax Number:
301-322-7565
Provider Enumeration Date:
03/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LANCASTER
Authorized Official First Name:
PETER
Authorized Official Middle Name:
RICHARD
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
301-322-8696

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 017301100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009101527 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 027440600 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".




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