MEDICARE: REHAB SYSTEMS CALDWELL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1346803335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB SYSTEMS CALDWELL LLC

Provider Business Mailing Address
First Line	:	427 N CURTIS RD
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83706-1439
Country	:	US
Telephone Number	:	208-342-4104
Fax Number	:	208-342-4106

Provider Business Practice Location Address
First Line	:	504 N 10TH AVE STE A
Second Line	:
City	:	CALDWELL
State	:	ID
Zip	:	83605-2925
Country	:	US
Telephone Number	:	208-453-6404
Fax Number	:	208-453-6402

Authorized Official
Title or Position	:	ADMIN MANAGER
Name	:	COLETTE BROWN
Credential	:
Telephone Number	:	208-342-4104

Provider Enumeration Date	:	04/16/2019
Last Update Date	:	06/09/2025

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