Provider Demographics
NPI:1457433021
Name:SYNERGY REHAB, LLC
Entity Type:Organization
Organization Name:SYNERGY REHAB, LLC
Other - Org Name:ENLIVEN HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-379-1661
Mailing Address - Street 1:630 MORRISON RD STE 310
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-5318
Mailing Address - Country:US
Mailing Address - Phone:614-485-2347
Mailing Address - Fax:614-485-2561
Practice Address - Street 1:630 MORRISON RD STE 310
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-5318
Practice Address - Country:US
Practice Address - Phone:614-485-2347
Practice Address - Fax:614-485-2561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health