Provider Demographics
NPI:1710299755
Name:ACHIEVEMENT REHABILITATION CARE
Entity Type:Organization
Organization Name:ACHIEVEMENT REHABILITATION CARE
Other - Org Name:VIRGINIA HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL SERVICES DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:SALE
Authorized Official - Last Name:COREY
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:703-333-5288
Mailing Address - Street 1:607 JEFFERSON DAVIS HWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-8406
Mailing Address - Country:US
Mailing Address - Phone:540-479-8333
Mailing Address - Fax:540-479-8336
Practice Address - Street 1:607 JEFFERSON DAVIS HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-8406
Practice Address - Country:US
Practice Address - Phone:540-479-8333
Practice Address - Fax:540-479-8336
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACHIEVEMENT REHABILITATION CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-07
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-326PC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
497605Medicare Oscar/Certification