Provider Demographics
NPI:1578672747
Name:HB REHAB SERVICES INC
Entity Type:Organization
Organization Name:HB REHAB SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTS
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:TED
Authorized Official - Last Name:WHICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-777-0530
Mailing Address - Street 1:7521 HITECH ROAD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24019
Mailing Address - Country:US
Mailing Address - Phone:540-777-0530
Mailing Address - Fax:
Practice Address - Street 1:7521 HITECH ROAD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019
Practice Address - Country:US
Practice Address - Phone:540-777-0530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010017963Medicaid
189420OtherANTHEM
VA010017963Medicaid