ADVANCED REHABILITATION CENTER (NPI# 1669891586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669891586 |
| Entity Type | Organization |
| Organization Name | ADVANCED REHABILITATION CENTER |
| Practice Address |
908 E Ireland Rd South Bend IN 46614-2664 |
| Practice Telephone | 5742222886 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |
| Authorized Official Name | JOEL JORDAN (CHIROPRACTOR) |
| Authorized Official Telephone | 5742222886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08002755A | IN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780115527 | Advanced Rehabilitation Center | Clinic/Center | 1632 N 18th St, Suite 2, Manitowoc, WI 54220-1858 | 2017-03-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ADVANCED REHABILITATION CENTER LLC | 908 E. Ireland Rd., South Bend, IN 46614 |
| Massachusetts Corporations | ADVANCED REHABILITATION CENTER, LLC | 3 Woodland Rd., #322, Stoneham, MA 02180 |
| Street Address |
908 E IRELAND RD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46614-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770854119 | Andrew Goul | Chiropractor | 908 E Ireland Rd, South Bend, IN 46614-2664 | 2012-01-17 |
| 1114469277 | Maple Leaf Pain Relief | Nurse Practitioner | 908 E Ireland Rd, South Bend, IN 46614-2664 | 2016-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1033759394 | Diane Galvas | Pharmacist | 1217 E. Ireland Rd., South Bend, IN 46614 | 2020-01-14 |
| 1730668690 | Julenne Henriquez-gil | Physical Therapist | 202 W Ireland Rd Ste 101a, South Bend, IN 46614 | 2018-08-11 |
| 1467747014 | Deidre A Coffey | Nurse Practitioner | 1025 Widener Ln, South Bend, IN 46614 | 2011-06-12 |
| 1588727655 | Wal-mart Stores East, Lp | Technician/Technologist | 700 W. Ireland Rd., South Bend, IN 46614 | 2006-12-19 |
| 1437262847 | Lori F Risser | Dentist | 734 E Ireland Rd, South Bend, IN 46614 | 2006-08-17 |
| 1912388018 | Laura Ellen Albright | Family Medicine | 2102 E Inwood Rd, South Bend, IN 46614 | 2015-06-15 |
| 1245626225 | Kathleen Kelley | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2015-04-07 |
| 1073869806 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1950 Ridgedale Rd, South Bend, IN 46614 | 2012-07-30 |
| 1326300666 | Kristine Marie Jones | Optometrist | 700 W Ireland Rd, South Bend, IN 46614 | 2012-06-12 |
| Find all providers in zip 46614 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710237698 | Michael Ryan Husband | Chiropractor | 60930 Us 31 S, South Bend, IN 46614-5148 | 2012-09-18 |
| 1770854119 | Andrew Goul | Chiropractor | 908 E Ireland Rd, South Bend, IN 46614-2664 | 2012-01-17 |
| 1568645323 | Kaurich Chiropractic, PC | Chiropractor | 3511 Lincolnway W, South Bend, IN 46628-1411 | 2007-12-14 |
| 1033267141 | Philip Reilly Hunt | Chiropractor | 2015 W Western Ave, Suite 240, South Bend, IN 46619-3544 | 2007-01-08 |
| 1649339102 | Robert Robin Schiffman | Chiropractor | 2105 Miami St, South Bend, IN 46613-2936 | 2006-12-08 |
| 1992888762 | James D Husband | Chiropractor | 219 E Ireland Rd, South Bend, IN 46614-2653 | 2006-10-23 |
| 1285734780 | Todd J Posar | Chiropractor | 1635 N Ironwood Dr, South Bend, IN 46635-1891 | 2006-09-24 |
| 1295768695 | Kevin W Kaurich | Chiropractor | 21421 Cleveland Rd, South Bend, IN 46628-3507 | 2006-07-09 |
| 1972557361 | Alan Scott Leichter | Chiropractor | 1622 Mishawaka Ave, South Bend, IN 46615-1427 | 2006-05-20 |
| 1912905712 | Lisa Ann Meyers | Chiropractor | 3027 Mishawaka Avenue, South Bend, IN 46615-2347 | 2005-07-14 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46614 |
Please comment or provide details below to improve the information on ADVANCED REHABILITATION CENTER.
| 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.