NOVACARE OUTPATIENT REHABILITATION EAST INC (NPI# 1780855155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780855155 |
| Entity Type | Organization |
| Organization Name | NOVACARE OUTPATIENT REHABILITATION EAST INC |
| Practice Address |
1245 15th St N N Saint Cloud MN 56303-1802 |
| Mailing Address |
4716 Old Gettysburg Rd Legal Department Mechanicsburg PA 17055-4325 |
| Practice Telephone | 7179754503 |
| Mailing Telephone | 7179754503 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179754503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1750548970 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 1105 Elizabeth Ave, Laureldale, PA 19605-2632 | 2008-05-16 |
| 1417128695 | Novacare Outpatient Rehabilitation East Inc | Durable Medical Equipment & Medical Supplies | 600 County Rd 75, Clearwater, MN 55320 | 2008-03-17 |
| 1063620672 | Novacare Outpatient Rehabilitation East Inc | Durable Medical Equipment & Medical Supplies | 8290 University Avenue Nw, Suite 300, Fridley, MN 55432 | 2007-05-18 |
| 1396747911 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | Tipton Medical and Diagnostic Center, Building II, Route 220, Tipton, PA 16684 | 2005-08-12 |
| 1770582660 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 5 S 3rd St, Clearfield, PA 16830-2324 | 2005-07-21 |
| 1629077599 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 50 E Wylie Ave, Washington, PA 15301-2002 | 2005-07-21 |
| 1073512968 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 78 Second Avenue, Collegeville, PA 19426 | 2005-07-21 |
| 1235138124 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 412 Huntingdon Pike, Rockledge, PA 19046-4448 | 2005-07-21 |
| 1144229030 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 1717 East 38th Street, Erie, PA 16504-2920 | 2005-07-21 |
| Street Address |
1245 15TH ST N N |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225017734 | Nicole E Peterson | Physical Therapist | 1245 15th St N, Saint Cloud, MN 56303-1802 | 2006-01-12 |
| 1134389778 | Robert Paul Himmerick | Physical Therapist | 1245 15th St N, Saint Cloud, MN 56303-1802 | 2008-06-16 |
| 1881863124 | Cassandra A. Amiot | Physician Assistant | 1245 15th St N, Saint Cloud, MN 56303-1802 | 2008-02-20 |
| 1578747085 | Ellen B Ellickson | Nurse Practitioner | 1245 15th St N, Saint Cloud, MN 56303-1802 | 2007-12-19 |
| 1437359817 | Lois Schueller Roback | Social Worker | 1245 15th St N, Saint Cloud, MN 56303-1802 | 2007-07-23 |
| 1528268901 | Denis Mcguinness | Social Worker | 1245 15th St N, Saint Cloud, MN 56303-1802 | 2007-07-23 |
| 1487857249 | Pam J. Waage | Nurse Practitioner | 1245 15th St N, Saint Cloud, MN 56303-1802 | 2007-06-08 |
| 1316140718 | Central Minnesota Group Health, Inc | Durable Medical Equipment & Medical Supplies | 1245 15th St N, Saint Cloud, MN 56303-1802 | 2007-06-06 |
| 1871700088 | Memory Disorders Clinic | Occupational Therapist | 1245 15th St N, Saint Cloud, MN 56303-1802 | 2007-05-17 |
| 1669547279 | Valerie Broste | Marriage & Family Therapist | 1245 15th St N, Saint Cloud, MN 56303-1802 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457974156 | Gateway Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1108 New York Ave Unit 1, Saint Cloud, FL 34769-3701 | 2020-05-28 |
| 1801399829 | For All of Maternity LLC | Durable Medical Equipment & Medical Supplies | 2026 Veterans Dr, Saint Cloud, MN 56303-3220 | 2018-03-15 |
| 1477912772 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2125 Nolte Rd, Saint Cloud, FL 34772-8762 | 2016-02-15 |
| 1528310489 | Trent John Frahm | Durable Medical Equipment & Medical Supplies | 26 6th Ave N, Suite 370, Saint Cloud, MN 56303-4558 | 2012-10-02 |
| 1487902441 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3601 2nd St S, Saint Cloud, MN 56301-3762 | 2012-08-24 |
| 1952623076 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 1001 4th St Se, Saint Cloud, MN 56304-1297 | 2010-02-16 |
| 1467603829 | Freedom Respiratory Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2721 Clearwater Rd, Unit 147, Saint Cloud, MN 56301-5952 | 2008-10-03 |
| 1912156571 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 3372 Canoe Creek Rd, Saint Cloud, FL 34772-6536 | 2008-09-18 |
| 1134375413 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 3340 Canoe Creek Rd, Saint Cloud, FL 34772-6536 | 2008-08-18 |
| 1952519035 | A&b Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 5854 Pleasant Ln, Saint Cloud, MN 56303-0621 | 2007-05-20 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
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.