Healthcare Provider Details

I. General information

NPI: 1972020394
Provider Name (Legal Business Name): REHABCARE GROUP EAST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2017
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PRIMROSE RETIREMENT COMMUNITY JEFFERSON CITY 1214 FREEDOM BOULEVARD
JEFFERSON CITY MO
65109
US

IV. Provider business mailing address

2600 COMPASS RD
GLENVIEW IL
60026-8001
US

V. Phone/Fax

Practice location:
  • Phone: 314-822-6285
  • Fax:
Mailing address:
  • Phone: 847-441-5593
  • Fax: 847-386-5196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ANNA GARDINA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 847-441-5593