Provider Demographics
NPI:1154319101
Name:ADVANCED REHABILITATION,INC.
Entity Type:Organization
Organization Name:ADVANCED REHABILITATION,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:812-547-7770
Mailing Address - Street 1:1020 11TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:TELL CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47586-2130
Mailing Address - Country:US
Mailing Address - Phone:812-547-7770
Mailing Address - Fax:812-547-7784
Practice Address - Street 1:1020 11TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:TELL CITY
Practice Address - State:IN
Practice Address - Zip Code:47586-2130
Practice Address - Country:US
Practice Address - Phone:812-547-7770
Practice Address - Fax:812-547-7784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100110530Medicaid
IN156579Medicare Oscar/Certification