Jacob'S Ladder Pediatric Rehab Center
LBN: Jacob'S Ladder Pediatric Rehab Center
Jacob'S Ladder Pediatric Rehab Center is an health care organization with primary practice located at 3325 Willowcreek Rd , Portage IN 46368-5015. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Jacob'S Ladder Pediatric Rehab Center can be contacted via phone (219) 764-4888, or through Frigo, Noel via phone (219) 764-4888.
Contact Information
Primary practice address
3325 Willowcreek Rd
Portage IN 46368-5015
Phone: (219) 764-4888
Fax: (219) 764-4805
Website:
Health care specialties
Profile Details
| NPI number | 1265519151 |
|---|---|
| LBN Legal business name | Jacob'S Ladder Pediatric Rehab Center |
| DBA Doing business as | |
| Authorized official | Frigo, Noel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | May 8th, 2008 - about 16 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 | 1265519151 | NPPES |
| Indiana | MEDICAID | 200196020A |
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