Provider Demographics
NPI:1225002983
Name:NEW ENGLAND REHABILITATION SERVICES OF CENTRAL MASSACHUSETTS INC
Entity Type:Organization
Organization Name:NEW ENGLAND REHABILITATION SERVICES OF CENTRAL MASSACHUSETTS INC
Other - Org Name:FAIRLAWN REHABILITATION HOSPITAL, AN AFFILIATE OF ENCOMPASS HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:WISNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-970-5702
Mailing Address - Street 1:9001 LIBERTY PKWY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7509
Mailing Address - Country:US
Mailing Address - Phone:205-967-7116
Mailing Address - Fax:205-969-6650
Practice Address - Street 1:189 MAY ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01602
Practice Address - Country:US
Practice Address - Phone:508-791-6351
Practice Address - Fax:508-753-2087
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENCOMPASS HEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-16
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
901543OtherHARVARD PILGRIM
FAI2233001810OtherBLUE CROSS
987937OtherNEIGHBORHOOD HEALTH-98793
900340OtherTUFTS
987937OtherNETWORK HEALTH
MA1207512Medicaid
MA1102656Medicaid
172OtherFALLON
903108OtherTUFTS
FAI2233001801OtherBLUE CROSS
900340OtherTUFTS