NOVACARE OUTPATIENT REHABILITATION EAST, INC. (NPI# 1538701677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538701677 |
| Entity Type | Organization |
| Organization Name | NOVACARE OUTPATIENT REHABILITATION EAST, INC. |
| Practice Address |
1935 County Road B2 W Ste 405 Roseville MN 55113-2797 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 6516350578 |
| Practice Fax Number | 6516389380 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | Y |
| Parent Organization Name | SELECT MEDICAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| NovaCare Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1174120448 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 14953 Kutztown Rd Ste 1, Kutztown, PA 19530-8381 | 2020-10-08 |
| 1760024756 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 3960 Coon Rapids Blvd Nw Ste 311, Coon Rapids, MN 55433-2598 | 2019-10-11 |
| 1366084402 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 16366 County Road 30, Maple Grove, MN 55311-1207 | 2019-10-10 |
| 1386295210 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 641 W 9 Mile Rd Ste D, Ferndale, MI 48220-1779 | 2019-09-23 |
| 1710537097 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 19 W Highland Ave, Philadelphia, PA 19118-3309 | 2019-09-18 |
| 1588218044 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 30 Liberty Boulevard, Suite 140, Malvern, PA 19355 | 2019-08-01 |
| 1497367551 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 2733 Papermill Rd, Wyomissing, PA 19610-3339 | 2020-08-20 |
| 1215556998 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1385 Phalen Boulevard, St. Paul, MN 55106 | 2020-04-13 |
| 1114559499 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 3942 Davis Stuart Rd Ste 3, Ronceverte, WV 24970-0269 | 2020-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | NOVACARE OUTPATIENT REHABILITATION EAST, INC. | 1016 W 9th Ave, King of Prussia, PA 19406 |
| Street Address |
1935 COUNTY ROAD B2 W STE 405 |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-2797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891754875 | John David Farr | Physical Therapist | 1935 County Road B2 W Ste 405, Roseville, MN 55113 | 2006-03-20 |
| 1497277982 | Grant Matthew Kaper | Physical Therapist | 1935 County Road B2 W Ste 405, Roseville, MN 55113-2797 | 2017-07-17 |
| 1366630147 | Mary Fenn | Physical Therapist | 1935 County Road B2 W Ste 405, Roseville, MN 55113 | 2007-10-05 |
| 1871672386 | Eric B Polson | Physical Therapist | 1935 County Road B2 W Ste 405, Roseville, MN 55113-2797 | 2006-11-03 |
| 1477637825 | Scott Richard Bookhout | Physical Therapist | 1935 County Road B2 W Ste 405, Roseville, MN 55113-2797 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790727402 | Matrix Rehabilitation, Inc. | Clinic/Center | 5131 Foothills Blvd, Suite 5, Roseville, CA 95747-6527 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024756 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 3960 Coon Rapids Blvd Nw Ste 311, Coon Rapids, MN 55433-2598 | 2019-10-11 |
| 1366084402 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 16366 County Road 30, Maple Grove, MN 55311-1207 | 2019-10-10 |
| 1427576727 | Ne Community Acupuncture & Wellness Center LLC | Clinic/Center | 1224 2nd St Ne # 200, Minneapolis, MN 55413-1130 | 2017-09-07 |
| 1326589714 | Cognitive Ventures Vadnais Heights LLC | Clinic/Center | 3555 Willow Lake Blvd Ste 180, Vadnais Heights, MN 55110-4462 | 2017-03-17 |
| 1265791503 | Dynamic Connections, Inc. | Clinic/Center | 2495 Maplewood Dr Ste 312, Maplewood, MN 55109-1985 | 2012-05-07 |
| 1063786689 | River Restorative Therapies LLC | Clinic/Center | 14166 Quince St Nw, Andover, MN 55304-4137 | 2012-02-29 |
| 1013244110 | Muellers Sensory Works LLC | Clinic/Center | 2132 Hoffman Rd, Mankato, MN 56001-5863 | 2009-11-10 |
| 1982842936 | Open Hands Health Services LLC | Clinic/Center | 730 S Benton Dr, Sauk Rapids, MN 56379-1274 | 2009-01-29 |
| 1154577906 | Healthy Returns of Minnesota Inc | Clinic/Center | 20836 Glacier Dr, Park Rapids, MN 56470-5275 | 2008-08-12 |
| 1992986194 | Body Whispers Therapy LLC | Clinic/Center | 3220 Rice St, Saint Paul, MN 55126-3047 | 2007-11-16 |
| Find all providers with the same taxonomy | ||||
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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.