Provider Demographics
NPI:1437121738
Name:BUTTERFLY REHABILITATION CORPORATION
Entity Type:Organization
Organization Name:BUTTERFLY REHABILITATION CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMCHAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-992-2044
Mailing Address - Street 1:8075 SW 107TH AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4848
Mailing Address - Country:US
Mailing Address - Phone:305-992-2044
Mailing Address - Fax:239-775-1118
Practice Address - Street 1:11063 TAMIAMI TRL E
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-7718
Practice Address - Country:US
Practice Address - Phone:305-992-2044
Practice Address - Fax:239-775-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL684876261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL684876Medicare ID - Type UnspecifiedCORF