Provider Demographics
NPI:1528024163
Name:HEALTHCURE REHABILITATION, INC.
Entity Type:Organization
Organization Name:HEALTHCURE REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHARDUL
Authorized Official - Middle Name:H
Authorized Official - Last Name:PANDYA
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:586-757-0317
Mailing Address - Street 1:12835 PICADILLY DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-1507
Mailing Address - Country:US
Mailing Address - Phone:586-264-0388
Mailing Address - Fax:586-757-0397
Practice Address - Street 1:21647 RYAN RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-2795
Practice Address - Country:US
Practice Address - Phone:586-757-0317
Practice Address - Fax:586-757-0397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501005660225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4630118Medicaid
MI145304OtherGREAT LAKE HEALTH PLAN
MI4630118Medicaid
MI145304OtherGREAT LAKE HEALTH PLAN
MI=========OtherPPOM