Provider Demographics
NPI:1245496058
Name:ORTHOPAEDIC HOME HEALTH AND REHABILITATION, INC.
Entity type:Organization
Organization Name:ORTHOPAEDIC HOME HEALTH AND REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:GROWNS
Authorized Official - Last Name:DOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:561-686-0933
Mailing Address - Street 1:2101 VISTA PKWY
Mailing Address - Street 2:SUITE 252
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2706
Mailing Address - Country:US
Mailing Address - Phone:561-686-0933
Mailing Address - Fax:561-686-0936
Practice Address - Street 1:2101 VISTA PKWY
Practice Address - Street 2:SUITE 252
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2706
Practice Address - Country:US
Practice Address - Phone:561-686-0933
Practice Address - Fax:561-686-0936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993420251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10-9276OtherMEDICARE PROVIDER NUMBER