Provider Demographics
NPI:1225536857
Name:MOUNT HOPE REHABILITATION, LLC
Entity Type:Organization
Organization Name:MOUNT HOPE REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:316-530-1799
Mailing Address - Street 1:9990 N 247TH ST W
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOPE
Mailing Address - State:KS
Mailing Address - Zip Code:67108-8900
Mailing Address - Country:US
Mailing Address - Phone:316-648-8070
Mailing Address - Fax:316-661-2352
Practice Address - Street 1:116 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNT HOPE
Practice Address - State:KS
Practice Address - Zip Code:67108-8831
Practice Address - Country:US
Practice Address - Phone:316-530-1799
Practice Address - Fax:316-661-2352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-03518261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1790762979OtherNPI