Encore Rehab Of Tuscan Avenue

LBN: Encore Rehabilitation, Inc.
Encore Rehab Of Tuscan Avenue is an health care organization with primary practice located at 498 Tuscan Ave 1108, Hattiesburg MS 39401-5461. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Encore Rehabilitation, Inc. can be contacted via phone (601) 543-0221, or through Henderson, Paul via phone (256) 350-1764.

Contact Information

Primary practice address
498 Tuscan Ave 1108 Hattiesburg MS 39401-5461
Phone: (601) 543-0221
Fax: (601) 543-0201
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Paul Physical Therapist (PT)
Phone: (256) 350-1764

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1033482294
LBN Legal business name Encore Rehabilitation, Inc.
DBA Doing business as Encore Rehab Of Tuscan Avenue
Authorized official Henderson, Paul Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2012
Last updated Dec 2nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033482294 NPPES
Mississippi MEDICAID 09015077
Mississippi Other 1033218524

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