Provider Demographics
NPI:1164063848
Name:BALDWIN HEALTH AND REHAB LLC
Entity Type:Organization
Organization Name:BALDWIN HEALTH AND REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHALOM
Authorized Official - Middle Name:
Authorized Official - Last Name:LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-564-6560
Mailing Address - Street 1:22670 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-8301
Mailing Address - Country:US
Mailing Address - Phone:251-928-2177
Mailing Address - Fax:251-928-2698
Practice Address - Street 1:22670 MAIN ST
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-8301
Practice Address - Country:US
Practice Address - Phone:251-928-2177
Practice Address - Fax:251-928-2698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-03
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility