Provider Demographics
NPI:1750447074
Name:CHRC, INC.
Entity Type:Organization
Organization Name:CHRC, INC.
Other - Org Name:COACHHOUSE REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARCY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAVELBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-278-5933
Mailing Address - Street 1:PO BOX 740
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-0740
Mailing Address - Country:US
Mailing Address - Phone:517-278-5933
Mailing Address - Fax:517-279-4946
Practice Address - Street 1:265 N MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-1528
Practice Address - Country:US
Practice Address - Phone:517-278-5933
Practice Address - Fax:517-279-4946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI103G00000X, 104100000X, 163W00000X, 2251N0400X, 225800000X, 225A00000X, 225XN1300X, 311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Not Answered163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Not Answered2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurologyGroup - Multi-Specialty
Not Answered225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation TherapistGroup - Multi-Specialty
Not Answered225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Multi-Specialty
Not Answered225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitationGroup - Multi-Specialty
Not Answered311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIPO67400001Medicare ID - Type UnspecifiedSOCIAL WORK GROUP
MIPO6700001Medicare ID - Type UnspecifiedMD GROUP
MIPO67200001Medicare ID - Type UnspecifiedOT GROUP
MIPO67300001Medicare ID - Type UnspecifiedPT GROUP
MIPO67300001Medicare ID - Type UnspecifiedPSYCH GROUP