NOVACARE OUTPATIENT REHABILITATION EAST, INC. (NPI# 1760024756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760024756 |
| Entity Type | Organization |
| Organization Name | NOVACARE OUTPATIENT REHABILITATION EAST, INC. |
| Other Organization Name | NOVACARE REHABILITATION |
| Practice Address |
3960 Coon Rapids Blvd Nw Ste 311 Coon Rapids MN 55433-2598 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 6122300044 |
| Practice Fax Number | 6125644153 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-24 |
| 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 |
| 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 |
| 1720620867 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 6605 Nicollet Ave, Richfield, MN 55423-2463 | 2019-10-10 |
| 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 |
3960 COON RAPIDS BLVD NW STE 311 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982246013 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 10091 Dogwood St Nw, Coon Rapids, MN 55448-5273 | 2019-10-10 |
| 1700085503 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 2104 Northdale Blvd Nw, Suite 100, Coon Rapids, MN 55433-3028 | 2007-07-12 |
| 1760693154 | Bryant R. Beehler, D.o., Ltd. | Clinic/Center | 3863 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | 2007-05-25 |
| 1215919949 | Thomas Rest Haven | Clinic/Center | 217 Main St, Coon Rapids, IA 50058-1605 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1477640613 | Functional Integrated Therapy, Ltd | Clinic/Center | 2495 Maplewood Drive, Suite 313, Maplewood, MN 55109-1913 | 2006-10-09 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on NOVACARE OUTPATIENT REHABILITATION EAST, 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.