Provider Demographics
NPI:1164535605
Name:EAST COAST REHABILITATION CENTERS, INC.
Entity Type:Organization
Organization Name:EAST COAST REHABILITATION CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:DINGESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-891-5271
Mailing Address - Street 1:110 29TH AVENUE NORTH
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203
Mailing Address - Country:US
Mailing Address - Phone:615-891-5271
Mailing Address - Fax:888-306-2525
Practice Address - Street 1:318 S STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33068-5703
Practice Address - Country:US
Practice Address - Phone:954-973-6050
Practice Address - Fax:888-306-2525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QR0401X
FL684811261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL684811Medicare UPIN