Provider Demographics
NPI:1568827996
Name:THE CENTER FOR REHABILITATION AT HAMPTON WOODS, INC.
Entity Type:Organization
Organization Name:THE CENTER FOR REHABILITATION AT HAMPTON WOODS, INC.
Other - Org Name:THE CENTER FOR REHABILITATION AT HAMPTON WOODS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRASAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-707-1300
Mailing Address - Street 1:1517 EAST WESTERN RESERVE ROAD
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-3254
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1517 EAST WESTERN RESERVE ROAD
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-3254
Practice Address - Country:US
Practice Address - Phone:330-707-1300
Practice Address - Fax:330-707-1301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility