Innovative Senior Rehab
LBN: Innovative Senior Rehabilitation Services Inc.
Innovative Senior Rehab is an health care organization with primary practice located at 2220 W Kettleman Ln , Lodi CA 95242-4347. 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) 365-6764, or through Hadley, Elizabeth Joy via phone (916) 690-0757.
Contact Information
Primary practice address
2220 W Kettleman Ln
Lodi CA 95242-4347
Phone: (209) 365-6764
Fax: (209) 365-6764
Website:
Health care specialties
Specialty | Code | License # | 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 | 1598827495 |
---|---|
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598827495 | NPPES |
California | Other | CH1035 | RAILROAD MEDICARE PTAN |
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