Provider Demographics
NPI:1790253862
Name:HOME REHAB NETWORK
Entity Type:Organization
Organization Name:HOME REHAB NETWORK
Other - Org Name:HOME REHAB NETWORK
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:GRICHUHIN
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:800-341-5838
Mailing Address - Street 1:532 BALTIMORE BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-6118
Mailing Address - Country:US
Mailing Address - Phone:443-226-8732
Mailing Address - Fax:
Practice Address - Street 1:532 BALTIMORE BLVD STE 106
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6118
Practice Address - Country:US
Practice Address - Phone:443-226-8732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-07
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty
Yes163WC3500XNursing Service ProvidersRegistered NurseCardiac RehabilitationGroup - Multi-Specialty
No2279P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary RehabilitationGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care