Innovative Senior Rehab

LBN: Innovative Senior Rehabilitation Services Inc.
Innovative Senior Rehab is an health care organization with primary practice located at 3318 Brookside Rd , Stockton CA 95219-2343. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Innovative Senior Rehabilitation Services Inc. can be contacted via phone (209) 951-3770, or through Hadley, Elizabeth Joy via phone (916) 690-0757.

Contact Information

Primary practice address
3318 Brookside Rd Stockton CA 95219-2343
Phone: (209) 951-3770
Fax: (209) 951-3770
Website:
Map and Directions
Authorized official contact:
Name: Hadley, Elizabeth Joy
Phone: (916) 690-0757

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1164584058
LBN Legal business name Innovative Senior Rehabilitation Services Inc.
DBA Doing business as Innovative Senior Rehab
Authorized official Hadley, Elizabeth Joy
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 10th, 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 1164584058 NPPES
California Other CH1035 RAILROAD MEDICARE PTAN

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