Provider Demographics
NPI:1811046915
Name:V CARE REHAB SERVICES, INC
Entity type:Organization
Organization Name:V CARE REHAB SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIDHYA
Authorized Official - Middle Name:DINESH
Authorized Official - Last Name:JAIN
Authorized Official - Suffix:
Authorized Official - Credentials:COTA
Authorized Official - Phone:248-207-2190
Mailing Address - Street 1:6658 WHISPERING WOODS DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-5202
Mailing Address - Country:US
Mailing Address - Phone:734-467-9620
Mailing Address - Fax:
Practice Address - Street 1:2096 S WAYNE RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-5428
Practice Address - Country:US
Practice Address - Phone:734-467-9620
Practice Address - Fax:734-467-9623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI236769Medicare ID - Type UnspecifiedPROVIDER NUMBER