Provider Demographics
NPI:1801450473
Name:CORE REHAB SERVICES, INC
Entity type:Organization
Organization Name:CORE REHAB SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEEPTI
Authorized Official - Middle Name:
Authorized Official - Last Name:KALYANAKAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:313-433-1465
Mailing Address - Street 1:2603 LYNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-5681
Mailing Address - Country:US
Mailing Address - Phone:248-688-6617
Mailing Address - Fax:248-498-6754
Practice Address - Street 1:8424 E 12 MILE RD STE 100B
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-2700
Practice Address - Country:US
Practice Address - Phone:248-688-6617
Practice Address - Fax:248-498-6754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-29
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy