1932400116 NPI number — ABEL CENTER FOR REHABILITATION THERAPIES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932400116 NPI number — ABEL CENTER FOR REHABILITATION THERAPIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABEL CENTER FOR REHABILITATION THERAPIES, 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:
6
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:
1932400116
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/28/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2270 DOUGLAS BLVD
Provider Second Line Business Mailing Address:
SUITE 216
Provider Business Mailing Address City Name:
ROSEVILLE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95661-3869
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-421-1965
Provider Business Mailing Address Fax Number:
916-782-0695

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1001 FOREST AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04103-3304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-421-1965
Provider Business Practice Location Address Fax Number:
916-782-0695
Provider Enumeration Date:
11/04/2010

Additional Information

Authorized Official

Authorized Official Last Name:
ALUMBAUGH
Authorized Official First Name:
VICKI
Authorized Official Middle Name:
Authorized Official Title or Position:
VP OF FINANCE
Authorized Official Telephone Number:
916-782-1212

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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