Healthcare Provider Details

I. General information

NPI: 1790947141
Provider Name (Legal Business Name): REHAB CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

634 E BROAD ST
BETHLEHEM PA
18018-6362
US

IV. Provider business mailing address

463 SUGAR MAPLE CT
BETHLEHEM PA
18017-3776
US

V. Phone/Fax

Practice location:
  • Phone: 610-625-4885
  • Fax:
Mailing address:
  • Phone: 610-882-0706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberTE000600L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. ATHENA MARIE MEDINA-JOSEPH
Title or Position: PHYSICAL THERAPIST ASST.
Credential: PTA
Phone: 610-882-0706