Provider Demographics
NPI:1194011056
Name:CAREFIRST REHAB LLC
Entity Type:Organization
Organization Name:CAREFIRST REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:PORRAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-748-7433
Mailing Address - Street 1:7225 NOVAS LNDG
Mailing Address - Street 2:
Mailing Address - City:SELLERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47172-1790
Mailing Address - Country:US
Mailing Address - Phone:812-748-7433
Mailing Address - Fax:812-748-7442
Practice Address - Street 1:7225 NOVAS LNDG
Practice Address - Street 2:
Practice Address - City:SELLERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47172-1790
Practice Address - Country:US
Practice Address - Phone:812-748-7433
Practice Address - Fax:812-748-7442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health