Provider Demographics
NPI:1639151202
Name:REHAB NEW ENGLAND PC
Entity Type:Organization
Organization Name:REHAB NEW ENGLAND PC
Other - Org Name:SENIOR REHAB CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS EXECUTIVE
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:SIROIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-673-5500
Mailing Address - Street 1:1 FATHER DEVALLES BLVD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02723-1511
Mailing Address - Country:US
Mailing Address - Phone:508-673-5500
Mailing Address - Fax:508-673-6500
Practice Address - Street 1:10 OLD DIAMOND HILL ROAD
Practice Address - Street 2:SENIOR REHAB CARE
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864
Practice Address - Country:US
Practice Address - Phone:508-673-5500
Practice Address - Fax:508-673-6500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-18
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI416508Medicare ID - Type Unspecified