MEDICARE: HUMAN PERFORMANCE AND REHABILITATION CENTERS 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

General Provider Information

NPI Number	:	1891583654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMAN PERFORMANCE AND REHABILITATION CENTERS LLC

Provider Business Mailing Address
First Line	:	1650 LYNDON FARM CT STE 300
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5005
Country	:	US
Telephone Number	:
Fax Number	:	812-590-8333

Provider Business Practice Location Address
First Line	:	6298 VETERANS PKWY STE 5B
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-6244
Country	:	US
Telephone Number	:	706-225-0380
Fax Number	:	706-225-0390

Authorized Official
Title or Position	:	CHIEF LEGAL & COMPLIANCE OFFICER
Name	:	CYNTHIA MCCAULEY
Credential	:
Telephone Number	:	502-576-3300

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	04/30/2026

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