Independence Rehab Services Pc

LBN: Independence Rehab Services Pc
Independence Rehab Services Pc is an health care organization with primary practice located at 1030 Kings Hwy N Suite 210, Cherry Hill NJ 08034-1907. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Independence Rehab Services Pc can be contacted via phone (856) 321-1900, or through Thomas, Shirvell M via phone (856) 321-1900.

Contact Information

Primary practice address
1030 Kings Hwy N Suite 210 Cherry Hill NJ 08034-1907
Phone: (856) 321-1900
Fax: (856) 321-1107
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Shirvell M
Phone: (856) 321-1900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1053366690
LBN Legal business name Independence Rehab Services Pc
DBA Doing business as
Authorized official Thomas, Shirvell M
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Mar 3rd, 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 1053366690 NPPES
New Jersey Other 525894 AETNA USHEALTHCARE
New Jersey Other 316628 AETNA USHEALTHCARE
New Jersey MEDICAID 6337601 AETNA USHEALTHCARE

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