Provider Demographics
NPI:1831322940
Name:CAREPLUS REHAB LLC
Entity Type:Organization
Organization Name:CAREPLUS REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MANISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANDELWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:732-423-9094
Mailing Address - Street 1:30 FROST AVE E
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3245
Mailing Address - Country:US
Mailing Address - Phone:732-549-0743
Mailing Address - Fax:
Practice Address - Street 1:420 FAYETTE ST
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-3835
Practice Address - Country:US
Practice Address - Phone:732-423-9094
Practice Address - Fax:732-826-1961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-24
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00963100261QP2000X, 261QR0401X
NJ46TR00512500261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy