Provider Demographics
NPI:1346616091
Name:AMERICAN REHABILITATION SERVICES
Entity Type:Organization
Organization Name:AMERICAN REHABILITATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:FRI
Authorized Official - Last Name:YOUTCHA
Authorized Official - Suffix:
Authorized Official - Credentials:12/19/1970
Authorized Official - Phone:301-440-2554
Mailing Address - Street 1:7201 CARRIAGE HILL DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5367
Mailing Address - Country:US
Mailing Address - Phone:301-440-2554
Mailing Address - Fax:301-850-4881
Practice Address - Street 1:7201 CARRIAGE HILL DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5367
Practice Address - Country:US
Practice Address - Phone:301-440-2554
Practice Address - Fax:301-850-4881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3809251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD750105600Medicaid