Great Strides Rehabilitation, Inc.

LBN: Great Strides Rehabilitation, Inc.
Great Strides Rehabilitation, Inc. is an health care organization with primary practice located at 12276 San Jose Blvd Ste 508, Jacksonville FL 32223-8628. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as the primary health care specialty. Great Strides Rehabilitation, Inc. can be contacted via phone (904) 886-3228, or through Edenfield, Jonathan via phone (904) 886-3228.

Contact Information

Primary practice address
12276 San Jose Blvd Ste 508 Jacksonville FL 32223-8628
Fax: (904) 886-3297
Website:
Authorized official contact:
Name: Edenfield, Jonathan

Profile Details

NPI number 1659660157
LBN Legal business name Great Strides Rehabilitation, Inc.
DBA Doing business as
Authorized official Edenfield, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2011
Last updated Apr 5th, 2011 - about 13 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 1659660157 NPPES
Florida MEDICAID 889662300

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