=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427097815
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WEST GABLES REHABILITATION HOSPITAL, L.L.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2006
-----------------------------------------------------
Last Update Date | 09/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2525 SW 75TH AVE
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33155-2800
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-262-6800
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4714 GETTYSBURG RD
-----------------------------------------------------
City | MECHANICSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17055-4325
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP
-----------------------------------------------------
Name | JOHN DUGGAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 717-972-1100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 283X00000X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Hospital
-----------------------------------------------------
License Number | 3920
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------