Provider Demographics
NPI:1750425054
Name:QUALITY CARE REHABILITATION, INC.
Entity type:Organization
Organization Name:QUALITY CARE REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. VICE PRES.
Authorized Official - Prefix:MR
Authorized Official - First Name:KAYTON
Authorized Official - Middle Name:E
Authorized Official - Last Name:NEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-885-5400
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08855-0006
Mailing Address - Country:US
Mailing Address - Phone:732-885-5400
Mailing Address - Fax:
Practice Address - Street 1:120 CENTENNIAL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-3900
Practice Address - Country:US
Practice Address - Phone:732-885-5400
Practice Address - Fax:732-885-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ31-6567Medicare ID - Type Unspecified