Provider Demographics
NPI:1073586434
Name:COLUMBIA HEALTH & REHABILITION
Entity Type:Organization
Organization Name:COLUMBIA HEALTH & REHABILITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF REIMBURSMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBAINA
Authorized Official - Suffix:JR
Authorized Official - Credentials:BS
Authorized Official - Phone:305-892-1790
Mailing Address - Street 1:11900 BISCAYNE BLVD SUITE 301
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181
Mailing Address - Country:US
Mailing Address - Phone:305-892-1790
Mailing Address - Fax:
Practice Address - Street 1:11900 BISCAYNE BLVD SUITE 301
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181
Practice Address - Country:US
Practice Address - Phone:305-892-1790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00-230-067Medicaid
MS25-5227Medicare ID - Type Unspecified
MS00-230-067Medicaid