Provider Demographics
NPI:1508589086
Name:SUNBEAM CARE REHAB SERVICES LLC
Entity Type:Organization
Organization Name:SUNBEAM CARE REHAB SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOLLYBELL
Authorized Official - Middle Name:
Authorized Official - Last Name:VELASCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-605-5955
Mailing Address - Street 1:13073 OPEN HEARTH WAY
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-2431
Mailing Address - Country:US
Mailing Address - Phone:240-421-9614
Mailing Address - Fax:301-798-7071
Practice Address - Street 1:9198 RED BRANCH RD STE H
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2017
Practice Address - Country:US
Practice Address - Phone:240-421-9614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty