CENTERRE REHABILITATION HOSPITAL OF ARIZONA, LLC (NPI# 1588715122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588715122 |
Entity Type | Organization |
Organization Name | CENTERRE REHABILITATION HOSPITAL OF ARIZONA, LLC |
Other Organization Name | PHOENIX REHABILITATION HOSPITAL |
Practice Address |
2601 E Roosevelt St 7th Floor Phoenix AZ 85008-4973 |
Mailing Address |
7733 Forsyth Blvd Suite 800 Saint Louis MO 63105-1817 |
Practice Telephone | 6023895600 |
Practice Fax Number | 6023895627 |
Mailing Telephone | 3148892718 |
Mailing Fax Number | 3148892727 |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. ANDREW KERR (CHIEF FINANCIAL OFFICER, CENTERRE) |
Authorized Official Telephone | 3148892726 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283X00000X | Rehabilitation Hospital | SH 3645 | AZ | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 920604 | 05 | |
AZ | BCBS OF ARIZONA | AZ0209710 | 01 |
AZ | ABRAZO ADVANTAGE HEALTH | F14493 | 01 |
Other Name | Type Code |
---|---|
Phoenix Rehabilitation Hospital | Doing Business As Name - Organization |
Street Address |
2601 E ROOSEVELT ST 7TH FLOOR |
City | PHOENIX |
State | AZ |
Zip Code | 85008-4973 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538166152 | Paul Zidel I | Orthopaedic Surgery | 2601 E Roosevelt St, Dept of Surgery, Phoenix, AZ 85008-4973 | 2005-06-29 |
1881293165 | Christina Wellman | Registered Nurse | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-10-19 |
1639786544 | Lindsey Tow | Nurse Anesthetist, Certified Registered | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-09-24 |
1003424102 | Susannamma Lijan | Nurse Practitioner | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-07-15 |
1184241705 | Katharine Witham | Anesthesiology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-06-30 |
1417574435 | Vishal Ravella | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Valleywise Health, Phoenix, AZ 85008 | 2020-06-26 |
1841814894 | Anthony Howard Arnett | Nurse Anesthetist, Certified Registered | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-06-05 |
1053932277 | Bhavesh Shukla | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-28 |
1659991016 | Luis Francisco Meza | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-25 |
1396365839 | Nicholas Donahue Winter | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2020-04-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
Find all providers in zip 85008 |
Taxonomy Code | 283X00000X |
Grouping | Hospitals |
Classification | Rehabilitation Hospital |
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871912238 | Rachel Schider | Rehabilitation Hospital | 18202 N 45th St, Phoenix, AZ 85032-1584 | 2014-04-14 |
1114240785 | Caremeridian, LLC | Rehabilitation Hospital | 15032 N. 37th Ave., Phoenix, AZ 85053-4620 | 2010-03-10 |
1598390056 | Reunion Rehabilitation Hospital Phoenix, LLC | Rehabilitation Hospital | 417 N 16th St, Phoenix, AZ 85006-3710 | 2020-03-05 |
1548629306 | Dignity Health | Rehabilitation Hospital | 240 W Thomas Rd, Phoenix, AZ 85013-4407 | 2016-02-22 |
1023358983 | Phoenix Va Hospital | Rehabilitation Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2013-02-28 |
1477893402 | Phoenix Va Hospital | Rehabilitation Hospital | 605 E Indian School Rd, Phoenix, AZ 85012-1845 | 2013-02-28 |
1902145766 | Supplemental Healthcare | Rehabilitation Hospital | 4720 E Cotton Gin Loop, Phoenix, AZ 85040-4823 | 2013-02-13 |
1720360233 | Matthew Ronald Gordon | Rehabilitation Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2011-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649725193 | Dignity-kindred Rehabilitation Hospital East Valley, LLC | Rehabilitation Hospital | 1515 W. Chandler Blvd, Chandler, AZ 85224-6141 | 2016-08-24 |
1598012783 | Globalrehab-scottsdale, LLC | Rehabilitation Hospital | 8850 E. Pima Center Parkway, Scottsdale, AZ 85258 | 2012-08-07 |
1366762296 | Mentor Abi | Rehabilitation Hospital | 6512 E Ludlow Dr, Scottsdale, AZ 85254-3311 | 2010-06-02 |
1205076528 | Encompass Health Rehabilitation Hospital of East Valley, LLC | Rehabilitation Hospital | 5652 East Baseline Road, Mesa, AZ 85206 | 2009-02-26 |
1790921765 | Frances Anne Wright | Rehabilitation Hospital | 710 Pittsburg Ave, Bisbee, AZ 85603-1239 | 2008-12-22 |
1245273853 | Mountain Valley Regional Rehabilitation Hospital Inc | Rehabilitation Hospital | 3700 North Windsong Dr, Prescott, AZ 86314-1253 | 2006-06-13 |
1295709954 | Yuma Rehabilitation Hospital, L.L.C. | Rehabilitation Hospital | 901 W 24th St, Yuma, AZ 85364 | 2006-02-16 |
1376517508 | Encompass Health Valleyofthesun Rehabilitation Hospital, LLC | Rehabilitation Hospital | 13460 N 67th Ave, Glendale, AZ 85304 | 2006-02-14 |
1851921571 | Bhsm Rehabilitation, LLC | Rehabilitation Hospital | 12740 N Plaza Del Rio Blvd, Peoria, AZ 85381-8100 | 2020-01-22 |
1316463276 | Rehabilitation Hospital of Northern Arizona LLC | Rehabilitation Hospital | 1851 N Gemini Dr, Flagstaff, AZ 86001-1607 | 2017-08-22 |
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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.