MEDICARE: AMERICAN REHAB SERVICES

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	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1457788721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN REHAB SERVICES

Provider Business Mailing Address
First Line	:	1716 E HUNDRED RD
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23836-3301
Country	:	US
Telephone Number	:	804-447-4107
Fax Number	:

Provider Business Practice Location Address
First Line	:	1716 E HUNDRED RD
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23836-3301
Country	:	US
Telephone Number	:	804-447-4107
Fax Number	:

Authorized Official
Title or Position	:	ADMINSTRATOR
Name	:	AHMED MOSTAFA
Credential	:	DR
Telephone Number	:	703-401-1454

Provider Enumeration Date	:	10/02/2013
Last Update Date	:	10/02/2013

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Directions to “AMERICAN REHAB SERVICES ” Practice Location

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