EFFINGHAM REHAB SERVICES, LLC (NPI# 1790289544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790289544 |
| Entity Type | Organization |
| Organization Name | EFFINGHAM REHAB SERVICES, LLC |
| Other Organization Name | CORA PHYSICAL THERAPY - PEMBROKE |
| Practice Address |
105 E Bacon St Pembroke GA 31321 |
| Mailing Address |
1110 Shawnee Rd Lima OH 45805-3529 |
| Practice Telephone | 9126530040 |
| Practice Fax Number | 9126530038 |
| Mailing Telephone | 4192216720 |
| Mailing Fax Number | 4192216712 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2019-09-17 |
| Authorized Official Name | MR. BRAD C. ROUSH (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 4192216717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CORA Physical Therapy - Pembroke | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 137 East Bacon Street, Pembroke, GA 31321 | 9126530040 | 9126530038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639137128 | Effingham Rehab Services, LLC | Clinic/Center | 804 Towne Park Dr Ste 400, Rincon, GA 31326 | 2006-05-03 |
| 1942703269 | Effingham Rehab Services, LLC | Clinic/Center | 902 E 67th St, Savannah, GA 31405-4613 | 2018-03-13 |
| 1124541685 | Effingham Rehab Services, LLC | Clinic/Center | 123 Canal St Ste 203, Pooler, GA 31322-4104 | 2017-07-17 |
| Street Address |
105 E BACON ST |
| City | PEMBROKE |
| State | GA |
| Zip Code | 31321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198410 | Lorri Michelle Strickland | Counselor | 1040 Us Hwy 280 W, Pembroke, GA 31321 | 2020-06-08 |
| 1649830001 | Jennifer Creek Poston | Physical Medicine & Rehabilitation | 105 East Bacon Street, Pembroke, GA 31321 | 2019-06-18 |
| 1356539894 | Kristen Altman | Physical Therapist | 205 East Bacon Steet, Pembroke, GA 31321 | 2007-10-10 |
| 1366573297 | Malken Pharm Services Inc | Pharmacy | 137 E. Bacon St, Pembroke, GA 31321 | 2007-03-09 |
| 1184753709 | Gateway Behavioral Health Services | Community/Behavioral Health | 40 E Industrial Blvd, Pembroke, GA 31321 | 2007-03-02 |
| 1972611663 | Bryan County Emergency Medical Service | Ambulance | 116 Lanier Street, Pembroke, GA 31321 | 2006-08-25 |
| 1154349850 | Saint Josephs Medical Group Inc | Family Medicine | 159 West Railroad St, Pembroke, GA 31321 | 2006-07-18 |
| 1003265836 | Harley Hendrix | Family Medicine | 159 W. Railroad Street, Pembroke, GA 31321 | 2016-06-13 |
| 1760886402 | Sharon Estill | Registered Nurse | 430 Ledford Street, Pembroke, GA 31321 | 2014-10-09 |
| 1033513775 | Joanne S Burnsed | Registered Nurse | 430 Ledford Street, Pembroke, GA 31321 | 2014-10-09 |
| Find all providers in zip 31321 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763150 | Esop Rehabilitation, LLC | Clinic/Center | 1699 Highway 124 N Ste 100, Snellville, GA 30078-7921 | 2020-06-08 |
| 1912566811 | Tattnall Hospital Company, LLC | Clinic/Center | 10200 Ford Ave Ste 105, Richmond Hill, GA 31324-8824 | 2019-06-13 |
| 1457874976 | Effingham Rehab Services, Inc | Clinic/Center | 111 Jazie Dr Ste E, Savannah, GA 31410-1908 | 2017-07-18 |
| 1770006272 | Effingham Rehab Services, Inc | Clinic/Center | 22 W Oglethorpe Ave, Savannah, GA 31401-3702 | 2017-07-18 |
| 1588187090 | Effingham Rehab Services, Inc | Clinic/Center | 475 S Main St Ste B, Hinesville, GA 31313-1365 | 2017-07-18 |
| 1447773908 | Effingham Rehab Services, Inc | Clinic/Center | 2709 Us Highway 17 Ste 2a, Richmond Hill, GA 31324-3795 | 2017-07-17 |
| 1437689288 | Dr. Peggy Marbach Vestibular Rehab Specialist, LLC | Clinic/Center | 6849 Peachtree Dunwoody Road, Building B-4, Suite #100, Sandy Springs, GA 30328-6776 | 2017-06-14 |
| 1699207274 | Vestibular Linc LLC | Clinic/Center | 921 Harmony Rd Ste 2, Eatonton, GA 31024-9618 | 2017-04-01 |
| 1346784113 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1600 Ballewtown Rd, C/o Blue Ridge Assisted Living, Blue Ridge, GA 30513-5337 | 2016-12-13 |
| 1861885840 | Caretherapy, LLC | Clinic/Center | 1567 Janmar Rd Ste 200, Snellville, GA 30078-0309 | 2015-03-14 |
| 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.