MEDICARE: REHABCARE GROUP EAST, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1295788800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABCARE GROUP EAST, LLC

Provider Business Mailing Address
First Line	:	680 S FOURTH ST
Second Line	:	KH2 REIMBURSEMENT
City	:	LOUISVILLE
State	:	KY
Zip	:	40202-2407
Country	:	US
Telephone Number	:	502-596-7906
Fax Number	:

Provider Business Practice Location Address
First Line	:	REHABCARE @ DANBERRY AT INVERNESS
Second Line	:	235 INVERNESS CENTER DR, APT. 148
City	:	HOOVER
State	:	AL
Zip	:	35242
Country	:	US
Telephone Number	:	205-437-2073
Fax Number	:	205-995-5536

Authorized Official
Title or Position	:	ASSISTANT SECRETARY
Name	:	MR. TERRANCE K. DILLON
Credential	:
Telephone Number	:	502-596-7300

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	04/29/2019

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