Provider Demographics
NPI:1073785291
Name:AMEDICARE REHAB CENTER
Entity Type:Organization
Organization Name:AMEDICARE REHAB CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HADFEG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-357-8111
Mailing Address - Street 1:5891 W 9TH LN
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2358
Mailing Address - Country:US
Mailing Address - Phone:786-357-8111
Mailing Address - Fax:
Practice Address - Street 1:11117 W OKEECHOBEE RD STE 209
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-4211
Practice Address - Country:US
Practice Address - Phone:786-357-8111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain