JEFFERSON REHABILITATION CENTER INC (NPI# 1407294598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407294598 |
| Entity Type | Organization |
| Organization Name | JEFFERSON REHABILITATION CENTER INC |
| Practice Address |
4300 Outer Loop Suite 6 Louisville KY 40219-3875 |
| Practice Telephone | 5029666967 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |
| Authorized Official Name | JORGE L OTERO (PRESIDENT) |
| Authorized Official Telephone | 5029666967 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
4300 OUTER LOOP SUITE 6 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40219-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922170125 | Priscilla Jane Auerweck | Social Worker | 4300 Outer Loop, Ste F, Louisville, KY 40219 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1174165989 | Joann Deborah Hobbs | Nurse Practitioner | 8216 Delido Rd, Louisville, KY 40219 | 2019-10-14 |
| 1962989319 | Jennifer Lynn Pinkerton | Hearing Instrument Specialist | 7326 Preston Hwy, Suite 206a, Louisville, KY 40219 | 2018-07-27 |
| 1942748447 | Melissa Freeman Emanuele | Speech-Language Pathologist | 1550 Raydale Drive, Lousville, KY 40219 | 2017-02-03 |
| 1083014013 | Christopher Maxey | Specialist/Technologist | Fern Valley Rd, Louisville, KY 40219 | 2014-08-27 |
| 1679985949 | Antwan Turner | Case Manager/Care Coordinator | 5523 Saxon Blvd, Louisville, KY 40219 | 2014-05-21 |
| 1386055168 | Kelly Larson | Case Manager/Care Coordinator | 6809 Bebe Ct., Louisville, KY 40219 | 2014-05-14 |
| 1639414626 | Prettysmilesdenturesandmorellc | Dentist | 19123 West Mcnichols Rd, Detroit, MI 40219 | 2012-12-03 |
| 1881967701 | Vickie Lynn Dixon | Homemaker | 3516 Templewood Dr., Louisville, KY 40219 | 2012-02-23 |
| 1811157555 | Tonya Lynn Frost | Chiropractor | 4300 Outer Loop Ste 10, Louisville, KY 40219 | 2008-06-16 |
| Find all providers in zip 40219 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1235644287 | First Care Chiropractic Center Psc | Clinic/Center | 5057 Poplar Level Rd Ste 7, Louisville, KY 40219-1129 | 2017-12-12 |
| 1467993709 | Ky Pt Pllc | Clinic/Center | 5520 Fern Valley Rd Ste 108, Louisville, KY 40228-1088 | 2017-03-20 |
| 1366996449 | Ecare, P.s.c. | Clinic/Center | 9201 Linn Station Rd, Louisville, KY 40222-5726 | 2016-08-06 |
| 1386019495 | Advanced Diagnostic Fna Biopsy Clinic, LLC | Clinic/Center | 400 S. Mccaslin Blvd., Suite 213, Louisville, CO 80027 | 2015-12-01 |
| 1265606222 | Kort-kentucky Orthopedic Rehab Team | Clinic/Center | 3901 Dutchmans Ln Ste 104, Louisville, KY 40207-4726 | 2008-04-21 |
| 1144405770 | C. Douglas Hensley | Clinic/Center | 305b Middletown Park Pl, Louisville, KY 40243-2514 | 2008-01-02 |
| 1881896710 | Hafendorfer, Pllc | Clinic/Center | 10629 Henning Way, 6, Louisville, KY 40241-2085 | 2007-06-04 |
| 1922124148 | Evans Chiropractic Psc | Clinic/Center | 3071 Breckenridge Ln, Louisville, KY 40220-2101 | 2007-03-21 |
| 1063561702 | Kentucky Easter Seal Society Inc | Clinic/Center | 9810 Bluegrass Parkway, Louisville, KY 40299 | 2007-01-10 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40219 |
Please comment or provide details below to improve the information on JEFFERSON REHABILITATION CENTER INC.
| 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.