NOVACARE OUTPATIENT REHABILITATION EAST INC (NPI# 1063620672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063620672 |
| Entity Type | Organization |
| Organization Name | NOVACARE OUTPATIENT REHABILITATION EAST INC |
| Other Organization Name | NOVACARE REHABILITATION |
| Practice Address |
8290 University Avenue Nw Suite 300 Fridley MN 55432 |
| Mailing Address |
4716 Gettysburg Rd Legal Department Mechanicsburg PA 17055-4325 |
| Practice Telephone | 7637842340 |
| Practice Fax Number | 7637861046 |
| Mailing Telephone | 7179754503 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-03-14 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179754503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| NovaCare Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1750548970 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 1105 Elizabeth Ave, Laureldale, PA 19605-2632 | 2008-05-16 |
| 1417128695 | Novacare Outpatient Rehabilitation East Inc | Durable Medical Equipment & Medical Supplies | 600 County Rd 75, Clearwater, MN 55320 | 2008-03-17 |
| 1396747911 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | Tipton Medical and Diagnostic Center, Building II, Route 220, Tipton, PA 16684 | 2005-08-12 |
| 1770582660 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 5 S 3rd St, Clearfield, PA 16830-2324 | 2005-07-21 |
| 1629077599 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 50 E Wylie Ave, Washington, PA 15301-2002 | 2005-07-21 |
| 1073512968 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 78 Second Avenue, Collegeville, PA 19426 | 2005-07-21 |
| 1235138124 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 412 Huntingdon Pike, Rockledge, PA 19046-4448 | 2005-07-21 |
| 1144229030 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 1717 East 38th Street, Erie, PA 16504-2920 | 2005-07-21 |
| 1861491755 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 20-30 West Baltimore Pike, Lansdowne, PA 19050 | 2005-07-21 |
| Street Address |
8290 UNIVERSITY AVENUE NW SUITE 300 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1659732360 | Independent Living Solutions | Durable Medical Equipment & Medical Supplies | 7714 Beech St Ne, Fridley, MN 55432-2512 | 2016-03-09 |
| 1609261809 | Corner Medical LLC | Durable Medical Equipment & Medical Supplies | 1270 Moore Lake Dr E, Fridley, MN 55432-5170 | 2015-04-03 |
| 1750546123 | Rehabtech Inc. | Durable Medical Equipment & Medical Supplies | 7142 University Ave Ne, Fridley, MN 55432-3100 | 2008-07-24 |
| 1851461792 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 5696 University Ave Ne, Fridley, MN 55432-5579 | 2006-11-08 |
| 1831204973 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 246 57th Ave Ne, Fridley, MN 55432 | 2006-08-20 |
| 1275550675 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 8150 University Ave Ne, Fridley, MN 55432-1864 | 2006-07-16 |
| 1225077928 | Allina Health System | Durable Medical Equipment & Medical Supplies | 550 Osborne Rd Ne Rm Ll0222, Fridley, MN 55432-2718 | 2006-06-06 |
| 1346237542 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 7217 University Ave Ne, Fridley, MN 55432 | 2005-10-03 |
| 1285014811 | Nura Pa | Durable Medical Equipment & Medical Supplies | 480 Osborne Rd Ne, Suite 260, Fridley, MN 55432-2773 | 2015-06-09 |
| Find all providers in FRIDLEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.