Provider Demographics
NPI:1982855391
Name:BRAVIS ENTERPRISES INC
Entity Type:Organization
Organization Name:BRAVIS ENTERPRISES INC
Other - Org Name:BUTLER REHABILITATION CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:S
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-282-0755
Mailing Address - Street 1:200 RENAISSANCE DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-7612
Mailing Address - Country:US
Mailing Address - Phone:724-282-0755
Mailing Address - Fax:724-282-7723
Practice Address - Street 1:316 1ST AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-2264
Practice Address - Country:US
Practice Address - Phone:724-543-1457
Practice Address - Fax:724-543-1458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA394566Medicare Oscar/Certification