Provider Demographics
NPI:1346273570
Name:SENIOR REHAB SYSTEMS INC
Entity Type:Organization
Organization Name:SENIOR REHAB SYSTEMS INC
Other - Org Name:SUPERIOR REHAB SYSTEMS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-312-1120
Mailing Address - Street 1:PO BOX 546976
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE
Mailing Address - State:FL
Mailing Address - Zip Code:33154-6976
Mailing Address - Country:US
Mailing Address - Phone:877-993-2121
Mailing Address - Fax:954-622-9120
Practice Address - Street 1:15600 NW 67TH AVE STE 306
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2176
Practice Address - Country:US
Practice Address - Phone:786-238-7660
Practice Address - Fax:786-238-7576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL103278273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
103278Medicare UPIN
FL103278Medicare ID - Type UnspecifiedCORF