Provider Demographics
NPI:1568404119
Name:REHABILITATION SPECIALIST OF HENDERSON INC
Entity Type:Organization
Organization Name:REHABILITATION SPECIALIST OF HENDERSON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BEVINS
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-386-1041
Mailing Address - Street 1:1669 W. HORIZON RIDGE PARKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-3516
Mailing Address - Country:US
Mailing Address - Phone:702-386-1041
Mailing Address - Fax:702-386-1042
Practice Address - Street 1:1669 W. HORIZON RIDGE PARKWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-3516
Practice Address - Country:US
Practice Address - Phone:702-386-1041
Practice Address - Fax:702-386-1042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2140810OtherUNITED HEALTHCARE
NVCC3793OtherBCBS
NV194703OtherNEVADA HEALTH SOLUTIONS
NV194703OtherNEVADACARE
NV646820OtherAARP
NVCJ9062OtherRAILROAD MEDICARE
1538164793OtherBCBS OF ILLINOIS (BCBSIL)
NV7909393OtherAETNA
NVV35558OtherMEDICARE ID-PIN
NVC03600000752OtherSIERRA HEALTH AND LIFE
NV100503635Medicaid
NV197547800OtherUS DEPT OF LABOR
NVC03600000752OtherSIERRA CHOICE
NV194703OtherNEVADACARE
NV646820OtherAARP