Provider Demographics
NPI:1013711365
Name:HB THERACARE LLC
Entity type:Organization
Organization Name:HB THERACARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HENOCK
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUBRUN
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:267-235-6866
Mailing Address - Street 1:176 WINDERMERE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-1540
Mailing Address - Country:US
Mailing Address - Phone:267-235-6866
Mailing Address - Fax:
Practice Address - Street 1:176 WINDERMERE AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-1540
Practice Address - Country:US
Practice Address - Phone:267-235-6866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty