DIVERSIFIED REHAB SERVICES, LLC (NPI# 1760420327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760420327 |
| Entity Type | Organization |
| Organization Name | DIVERSIFIED REHAB SERVICES, LLC |
| Practice Address |
429 S Blanche St Suite 210 Mounds IL 62964-1107 |
| Mailing Address |
101 Park Cir Benton IL 62812-3464 |
| Practice Telephone | 6187459419 |
| Practice Fax Number | 6187459421 |
| Mailing Telephone | 6185349678 |
| Mailing Fax Number | 6184352346 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BENJAMIN N RICE (OWNER) |
| Authorized Official Telephone | 6185349678 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528251071 | Diversified Rehab Services, LLC | Skilled Nursing Facility | 3030 Greenfield Rd, Royal Oak, MI 48073-6528 | 2007-08-18 |
| Street Address |
429 S BLANCHE ST SUITE 210 |
| City | MOUNDS |
| State | IL |
| Zip Code | 62964-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932140720 | Elly Nelson | Physical Therapist | 429 S Blanche St, Mounds, IL 62964-1107 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043319148 | County of Pulaski | Ambulance | 75 Camo Clad Dr, Pulaski County Ambulance, Mounds, IL 62964 | 2006-09-22 |
| 1316038938 | Gordon D Holden | Physical Therapist | 120 N Front St, Cairo Rehab & Fit for Golf Inc, Mounds, IL 62964-1022 | 2006-09-27 |
| 1144418138 | Cairo Rehab & Fit Fore Golf Inc | Physical Therapist | 120 N Front St, Mounds, IL 62964-1022 | 2007-10-04 |
| 1215901236 | Dewey G Dixon Jr. | Chiropractor | 426 S Blanche St, Mounds, IL 62964-1108 | 2006-02-15 |
| 1861678930 | Dixon Chiropractic Center, PC | Chiropractor | 426 S Blanche St, Mounds, IL 62964-1108 | 2008-01-18 |
| 1972805919 | Delta Center, Inc | Clinic/Center | 130 Richland Ter, Mounds, IL 62964-1233 | 2010-11-24 |
| 1841726767 | Shakarra Childress | Nurse's Aide | 4109 Us Highway 51, Mounds, IL 62964-2208 | 2017-05-11 |
| 1194994814 | Meridian Cusd #101 | Local Education Agency (LEA) | 208 Valley Rd, Mounds, IL 62964-2322 | 2008-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841726767 | Shakarra Childress | Nurse's Aide | 4109 Us Highway 51, Mounds, IL 62964-2208 | 2017-05-11 |
| 1427503549 | Kristan Osten | Speech-Language Pathologist | 1184 N 160 Rd, Mounds, OK 74047-5504 | 2016-08-18 |
| 1962870048 | Misty Bilby | Case Manager/Care Coordinator | 17225 S 89th West Ave, Mounds, OK 74047-4127 | 2015-09-08 |
| 1467856153 | David Deere | Public Health or Welfare | 17713 S Sante Fe Pl, Mounds, OK 74047 | 2014-10-09 |
| 1063849263 | Janie Leann Matney | Counselor | 15155 English Rd, Mounds, OK 74047-3937 | 2013-10-02 |
| 1427391143 | Samantha Jo Jerrell | Counselor | 7831 W 182nd St South, Mounds, OK 74047 | 2013-04-01 |
| 1548512825 | Kimberly Marie Motley | Counselor | 10245 Hectorville Rd, Mounds, OK 74047-4249 | 2012-10-10 |
| 1326337999 | Nick Vernier | Marriage & Family Therapist | 1375 Shortcut Rd, Mounds, OK 74047 | 2011-04-04 |
| 1205139052 | Deandra L Mcdonald | Occupational Therapy Assistant | 622 Mcnabb, Mounds, OK 74047-0698 | 2010-12-17 |
| 1972805919 | Delta Center, Inc | Clinic/Center | 130 Richland Ter, Mounds, IL 62964-1233 | 2010-11-24 |
| Find all providers in MOUNDS | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
| 1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
| 1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
| 1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
| 1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| 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.