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General NPI Number Information
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NPI Number | 1407730211
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Entity Type | Organization
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Legal Business Name | MED CARE REHAB, LLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 6031 19 MILE RD STE A
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-2181
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Country | US
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Telephone | 586-576-7965
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Fax | 586-510-4921
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Provider Business Mailing Address
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Address Line | 318 JOHN R RD # 372
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City | TROY
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State | MI
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Zip | 48083-4542
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Country | US
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Telephone | 586-476-7965
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Fax | 586-510-4921
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Authorized Official
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Title or Position | OWNER
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Name | MR. ERICSON VILLANUEVA
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Credential | PT
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Telephone | 248-250-4486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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