Provider Demographics
NPI:1114004389
Name:HEALTH ONE REHAB, INC.
Entity Type:Organization
Organization Name:HEALTH ONE REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HAFIZ
Authorized Official - Middle Name:SH
Authorized Official - Last Name:TAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:248-355-4444
Mailing Address - Street 1:9624 BELLETERRE ST
Mailing Address - Street 2:STE 101-
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48204-1752
Mailing Address - Country:US
Mailing Address - Phone:248-355-4444
Mailing Address - Fax:248-355-0484
Practice Address - Street 1:9624 BELLETERRE ST
Practice Address - Street 2:STE 101-
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48204-1752
Practice Address - Country:US
Practice Address - Phone:248-355-4444
Practice Address - Fax:248-355-0484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
236778Medicare ID - Type UnspecifiedOUTPATIENT REHAB