Provider Demographics
NPI:1528038213
Name:REHABGUARD, INC
Entity Type:Organization
Organization Name:REHABGUARD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXSANDR
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-398-1206
Mailing Address - Street 1:8515 DELMAR BLVD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-2168
Mailing Address - Country:US
Mailing Address - Phone:314-995-7070
Mailing Address - Fax:314-995-7070
Practice Address - Street 1:8515 DELMAR BLVD
Practice Address - Street 2:SUITE 225
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-2168
Practice Address - Country:US
Practice Address - Phone:314-995-7070
Practice Address - Fax:314-995-7070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-25
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO626051205Medicaid
MO180626OtherBLUE CROSS
MO180626OtherBLUE CROSS