Grand River Rehabilitation Llc

LBN: Grand River Rehabilitation Llc
Grand River Rehabilitation Llc is an health care organization with primary practice located at 412 Plymouth Ave Ne , Grand Rapids MI 49505-6028. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Grand River Rehabilitation Llc can be contacted via phone (616) 780-2324, or through Rush, Adam Joseph via phone (616) 780-7389.

Contact Information

Primary practice address
412 Plymouth Ave Ne Grand Rapids MI 49505-6028
Phone: (616) 780-2324
Fax: (877) 991-4975
Website:
Map and Directions
Authorized official contact:
Name: Rush, Adam Joseph Doctor of Medicine (MD)
Phone: (616) 780-7389

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301091218 Michigan
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301091218 Michigan
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 4301091218 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X

Profile Details

NPI number 1124519707
LBN Legal business name Grand River Rehabilitation Llc
DBA Doing business as
Authorized official Rush, Adam Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2018
Last updated May 12th, 2023 - about last year

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 1124519707 NPPES
Other 1528095643 NPI ENUMERATOR

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