Healthcare Provider Details

I. General information

NPI: 1801404165
Provider Name (Legal Business Name): LONG TERM CARE AND REHAB CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2020
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4919 CHARLESTOWN RD
NEW ALBANY IN
47150-9426
US

IV. Provider business mailing address

4919 CHARLESTOWN RD
NEW ALBANY IN
47150-9426
US

V. Phone/Fax

Practice location:
  • Phone: 812-698-1811
  • Fax:
Mailing address:
  • Phone: 812-709-1594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAVITA LOHANO
Title or Position: OWNER
Credential: PA
Phone: 812-709-1594