Provider Demographics
NPI:1245766005
Name:NEURO REHABCARE OF HAMMOND, LLC
Entity Type:Organization
Organization Name:NEURO REHABCARE OF HAMMOND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING & BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUTHITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-334-4110
Mailing Address - Street 1:9201 PARALLEL PKWY
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-1510
Mailing Address - Country:US
Mailing Address - Phone:913-334-4110
Mailing Address - Fax:913-334-3121
Practice Address - Street 1:41238 ADAMS RD
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-2069
Practice Address - Country:US
Practice Address - Phone:913-334-4110
Practice Address - Fax:913-334-3121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility