BHSM REHABILITATION, LLC (NPI# 1801429634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801429634 |
| Entity Type | Organization |
| Organization Name | BHSM REHABILITATION, LLC |
| Practice Address |
37200 North Gantzel Road Suite 260 Queen Creek AZ 85140 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 4806773294 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| 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 |
|---|---|
| Banner Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749399 | Bhsm Rehabilitation, LLC | Clinic/Center | 9377 E Bell Rd Ste 349, Scottsdale, AZ 85260-1502 | 2020-10-29 |
| 1598383705 | Bhsm Rehabilitation, LLC | Clinic/Center | 6380 E Grant Rd Ste 100, Tucson, AZ 85715-3884 | 2020-07-14 |
| 1063030732 | Bhsm Rehabilitation, LLC | Clinic/Center | 1309 N Greenfield Rd Ste 102, Mesa, AZ 85205-4009 | 2020-07-09 |
| 1477176071 | Bhsm Rehabilitation, LLC | Clinic/Center | 211 N Estrella Pkwy Unit 103-104, Goodyear, AZ 85338-9339 | 2020-05-19 |
| 1316574569 | Bhsm Rehabilitation, LLC | Clinic/Center | 885 E Warner Rd, Gilbert, AZ 85296-3075 | 2020-03-26 |
| 1134752744 | Bhsm Rehabilitation, LLC | Clinic/Center | 301 Summers St Ste G, Hinton, WV 25951-2336 | 2020-02-21 |
| 1285271684 | Bhsm Rehabilitation, LLC | Clinic/Center | 25101 N Lake Pleasant Pkwy Ste B-1340, Peoria, AZ 85383-1386 | 2019-12-04 |
| 1528535689 | Bhsm Rehabilitation, LLC | Clinic/Center | 5605 W Eugie Ave Ste 212&215, Glendale, AZ 85304-1272 | 2018-10-26 |
| 1942777073 | Bhsm Rehabilitation, LLC | Clinic/Center | 10503 W Thunderbird Blvd Ste 200, Sun City, AZ 85351-2746 | 2018-10-26 |
| 1629557913 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 20851 E Rittenhouse Rd # E103, Queen Creek, AZ 85142-4493 | 2018-08-08 |
| Street Address |
37200 NORTH GANTZEL ROAD SUITE 260 |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801455712 | Jose Enrique Knox | Specialist/Technologist, Other | 36018 North Secret Garden Path, Queen Creek, AZ 85140 | 2019-06-13 |
| 1629546171 | San Tan Valley Oral Facial and Implant Surgery Pllc | Oral & Maxillofacial Surgery | 36327 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140 | 2018-11-02 |
| 1780164582 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 40950 N Ironwood Dr, Queen Creek, AZ 85140 | 2018-08-21 |
| 1497249452 | San Tan Primary Care PC | Family Medicine | 36283 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 | 2018-06-21 |
| 1306386115 | Veronica Gonzalez | Licensed Practical Nurse | 733 E Angeline Ave, Queen Creek, AZ 85140 | 2017-02-27 |
| 1194198697 | Amanda Ellis | Residential Treatment Facility, Physical Disabilities | 381 East Brook Street, San Tan Valley, AZ 85140 | 2015-11-05 |
| 1043688336 | Felicia D Adams | Day Training/Habilitation Specialist | 1074 E. Press Rd, San Tan Valley, AZ 85140 | 2015-09-03 |
| 1376928598 | Amy Burks | Physical Therapy Assistant | 1479 E Oak Rd, San Tan Valley, AZ 85140 | 2015-07-29 |
| 1316367121 | Shanaya Suchak | Internal Medicine | 37000 N Gantzel Road, Attn: Hospitalists, San Tan Valley, AZ 85140 | 2014-04-19 |
| 1407296023 | Devin G Anderson | Audiologist | 36305 N Gantzel Rd Ste 104, San Tan Valley, AZ 85140 | 2013-06-27 |
| Find all providers in zip 85140 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749399 | Bhsm Rehabilitation, LLC | Clinic/Center | 9377 E Bell Rd Ste 349, Scottsdale, AZ 85260-1502 | 2020-10-29 |
| 1598383705 | Bhsm Rehabilitation, LLC | Clinic/Center | 6380 E Grant Rd Ste 100, Tucson, AZ 85715-3884 | 2020-07-14 |
| 1063030732 | Bhsm Rehabilitation, LLC | Clinic/Center | 1309 N Greenfield Rd Ste 102, Mesa, AZ 85205-4009 | 2020-07-09 |
| 1477176071 | Bhsm Rehabilitation, LLC | Clinic/Center | 211 N Estrella Pkwy Unit 103-104, Goodyear, AZ 85338-9339 | 2020-05-19 |
| 1316574569 | Bhsm Rehabilitation, LLC | Clinic/Center | 885 E Warner Rd, Gilbert, AZ 85296-3075 | 2020-03-26 |
| 1285271684 | Bhsm Rehabilitation, LLC | Clinic/Center | 25101 N Lake Pleasant Pkwy Ste B-1340, Peoria, AZ 85383-1386 | 2019-12-04 |
| 1528535689 | Bhsm Rehabilitation, LLC | Clinic/Center | 5605 W Eugie Ave Ste 212&215, Glendale, AZ 85304-1272 | 2018-10-26 |
| 1942777073 | Bhsm Rehabilitation, LLC | Clinic/Center | 10503 W Thunderbird Blvd Ste 200, Sun City, AZ 85351-2746 | 2018-10-26 |
| 1013404680 | Continuum Recovery Center | Clinic/Center | 3710 W Greenway Rd Ste 104, Phoenix, AZ 85053-3729 | 2018-04-18 |
| 1497271431 | Bhsm Rehabilitation, LLC | Clinic/Center | 3507 S Mercy Rd Ste A, Gilbert, AZ 85297-0441 | 2017-08-22 |
| Find all providers with the same taxonomy | ||||
| City | QUEEN CREEK |
| Zip Code | 85140 |
Please comment or provide details below to improve the information on BHSM REHABILITATION, LLC.
| 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.