EVEREST REHABILITATION SERVICES LLC


Address: 6787 Market St Ste 102, Millbourne, PA 19082-1848
Phone: 6108125752

EVEREST REHABILITATION SERVICES LLC (NPI# 1386094027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386094027
Entity Type Organization
Organization Name EVEREST REHABILITATION SERVICES LLC
Practice Address 6787 Market St Ste 102
Millbourne
PA 19082-1848
Mailing Address 23 Mount Aire Farm Rd
Glen Mills
PA 19342-3356
Practice Telephone 6108125752
Mailing Telephone 6108125752
Enumeration Date 2016-06-14
Last Update Date 2016-06-14
Authorized Official Name DR. GUOFANG WANG (CEO)
Authorized Official Telephone 6108125752
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0401X Clinic/Center
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
MD437798 PA Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1346691342 Everest Rehabilitation Services LLC Clinic/Center 23 Mount Aire Farm Rd, Glen Mills, PA 19342-3356 2016-06-30

Office Location

Street Address 6787 MARKET ST STE 102
City MILLBOURNE
State PA
Zip Code 19082-1848

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Taxonomy Information

Taxonomy Code 261QR0401X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Definition

Definition to come...

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Competitor

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City MILLBOURNE
Zip Code 19082

Improve Information

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Dataset Information

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.

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