Provider Demographics
NPI:1700843414
Name:COMMUNITY REHAB SERVICES, INC.
Entity Type:Organization
Organization Name:COMMUNITY REHAB SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEUSSNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-277-9818
Mailing Address - Street 1:838 SW 56TH ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-7223
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1650 MEDICAL LN
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-1109
Practice Address - Country:US
Practice Address - Phone:239-277-9818
Practice Address - Fax:239-277-9289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY902LOtherBCBS GROUP NUMBER
FL002093607001OtherUNITED HC GROUP NUMBER
FL217514OtherAMERIGROUP GROUP NUMBER
FLN275952OtherSTAYWELL GROUP NUMBER
FL2078557OtherFIRST HEALTH GROUP NUMBER
FL2078557OtherFIRST HEALTH GROUP NUMBER