Provider Demographics
NPI:1649562018
Name:COMPER CARE REHAB INC
Entity Type:Organization
Organization Name:COMPER CARE REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RANILO
Authorized Official - Middle Name:CABACHETE
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-917-2430
Mailing Address - Street 1:11110 FORT STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-2120
Mailing Address - Country:US
Mailing Address - Phone:402-932-0703
Mailing Address - Fax:402-932-0767
Practice Address - Street 1:11110 FORT STREET
Practice Address - Street 2:SUITE 103
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-2120
Practice Address - Country:US
Practice Address - Phone:402-932-0703
Practice Address - Fax:402-932-0767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHHA#201102251E00000X
NE251E00000X, 251E00000X
225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE28-7142Medicare UPIN