Provider Demographics
NPI:1144750589
Name:ULTIMATE REHAB SERVICES LTD
Entity Type:Organization
Organization Name:ULTIMATE REHAB SERVICES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:KEROLES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:702-901-8010
Mailing Address - Street 1:7935 W SAHARA AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-7909
Mailing Address - Country:US
Mailing Address - Phone:702-901-8010
Mailing Address - Fax:725-900-1860
Practice Address - Street 1:7935 W SAHARA AVE STE 106
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-7909
Practice Address - Country:US
Practice Address - Phone:702-901-8010
Practice Address - Fax:725-900-1860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty