Provider Demographics
NPI:1427196955
Name:ASSISTED REHAB. INCORPORATED
Entity Type:Organization
Organization Name:ASSISTED REHAB. INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BILLING & REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:TREMBLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-602-3501
Mailing Address - Street 1:PO BOX 680
Mailing Address - Street 2:
Mailing Address - City:RIDERWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21139-0680
Mailing Address - Country:US
Mailing Address - Phone:937-602-3501
Mailing Address - Fax:214-305-3399
Practice Address - Street 1:3908 N CHARLES ST APT 1303
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-1757
Practice Address - Country:US
Practice Address - Phone:141-044-6277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD21-6653Medicare ID - Type Unspecified