Healthcare Provider Details

I. General information

NPI: 1609152404
Provider Name (Legal Business Name): REHABCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2011
Last Update Date: 10/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3655 TEJON ST
DENVER CO
80211-2995
US

IV. Provider business mailing address

3655 TEJON ST
DENVER CO
80211-2995
US

V. Phone/Fax

Practice location:
  • Phone: 303-503-2946
  • Fax: 877-796-0836
Mailing address:
  • Phone: 303-503-2946
  • Fax: 877-796-0836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number23
License Number StateCO

VIII. Authorized Official

Name: SARAH BROOKE SMITH
Title or Position: SLP
Credential:
Phone: 303-503-2946