Provider Demographics
NPI:1417266156
Name:REHAB MATTERS HOMEHEALTH INC.
Entity Type:Organization
Organization Name:REHAB MATTERS HOMEHEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FERMIN
Authorized Official - Middle Name:BACALSO
Authorized Official - Last Name:ROTEA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:813-961-8262
Mailing Address - Street 1:4321 GUNN HWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-8729
Mailing Address - Country:US
Mailing Address - Phone:813-961-8262
Mailing Address - Fax:813-961-8264
Practice Address - Street 1:8225 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-3016
Practice Address - Country:US
Practice Address - Phone:727-372-5206
Practice Address - Fax:727-372-8474
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REHAB MATTERS HOMEHEALTH INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-29
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109728Medicare Oscar/Certification