Healthcare Provider Details

I. General information

NPI: 1174694194
Provider Name (Legal Business Name): CARE ONE REHABILITATION SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 08/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33861 STONECREST DR
STERLING HEIGHTS MI
48312
US

IV. Provider business mailing address

33861 STONECREST DR
STERLING HEIGHTS MI
48312
US

V. Phone/Fax

Practice location:
  • Phone: 586-264-9690
  • Fax: 586-264-9690
Mailing address:
  • Phone: 586-264-9690
  • Fax: 586-264-9690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: VIRENDRA GAIDHANE
Title or Position: ADMINISTRATOR
Credential:
Phone: 586-246-9690