Provider Demographics
NPI:1164109096
Name:SYNCHRONIZE REHAB CARE LLC
Entity Type:Organization
Organization Name:SYNCHRONIZE REHAB CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:PAGUNTALAN
Authorized Official - Last Name:OCAMPO
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:347-684-8241
Mailing Address - Street 1:13410 JEWEL AVE
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1918
Mailing Address - Country:US
Mailing Address - Phone:347-684-8241
Mailing Address - Fax:
Practice Address - Street 1:13410 JEWEL AVE
Practice Address - Street 2:
Practice Address - City:KEW GARDENS HILLS
Practice Address - State:NY
Practice Address - Zip Code:11367-1918
Practice Address - Country:US
Practice Address - Phone:347-684-8241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health