Provider Demographics
NPI:1649222191
Name:REHAB DIMENSIONS OF WV, LLC
Entity Type:Organization
Organization Name:REHAB DIMENSIONS OF WV, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-684-9294
Mailing Address - Street 1:411 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:WV
Mailing Address - Zip Code:26170-1007
Mailing Address - Country:US
Mailing Address - Phone:304-684-9294
Mailing Address - Fax:304-684-0014
Practice Address - Street 1:411 2ND ST
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:WV
Practice Address - Zip Code:26170-1007
Practice Address - Country:US
Practice Address - Phone:304-684-9294
Practice Address - Fax:304-684-0014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV001332B00000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0147832000Medicaid
OH2060880Medicaid
WV=========OtherFOR BILLING INSURANCE
WV0147832000Medicaid