Provider Demographics
NPI:1326370800
Name:COMMUNITY REHAB SERVICES - GREENFIELD
Entity Type:Organization
Organization Name:COMMUNITY REHAB SERVICES - GREENFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHNEFKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-355-6341
Mailing Address - Street 1:740 W GREEN MEADOWS DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-3097
Mailing Address - Country:US
Mailing Address - Phone:317-318-7400
Mailing Address - Fax:
Practice Address - Street 1:740 W GREEN MEADOWS DR
Practice Address - Street 2:SUITE 120
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-3097
Practice Address - Country:US
Practice Address - Phone:317-318-7400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNTY HEALTH NETWORK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0500050681261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine