Provider Demographics
NPI:1821558818
Name:CENTER FOR ADVANCED REHABILITATION AND EDUCATIONAL SPECIALISTS, LLC
Entity Type:Organization
Organization Name:CENTER FOR ADVANCED REHABILITATION AND EDUCATIONAL SPECIALISTS, LLC
Other - Org Name:DE CARES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/BUSINESS OPERATOR/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:M
Authorized Official - Last Name:TALAVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-580-5964
Mailing Address - Street 1:740 S NEW ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3571
Mailing Address - Country:US
Mailing Address - Phone:301-580-5964
Mailing Address - Fax:
Practice Address - Street 1:740 S NEW ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3571
Practice Address - Country:US
Practice Address - Phone:301-580-5964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty