Jefferson Rehabilitation Center

LBN: Jefferson Rehabilitation Center
Jefferson Rehabilitation Center is an health care organization with primary practice located at 443 Gaffney Dr , Watertown NY 13601-1834. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Jefferson Rehabilitation Center can be contacted via phone (315) 785-8107, or through Stern, Daniel E. via phone (315) 788-2730.

Contact Information

Primary practice address
443 Gaffney Dr Watertown NY 13601-1834
Fax:
Website:
Authorized official contact:
Name: Stern, Daniel E.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 7642451 New York

Profile Details

NPI number 1881801892
LBN Legal business name Jefferson Rehabilitation Center
DBA Doing business as
Authorized official Stern, Daniel E.
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1881801892 NPPES
New York MEDICAID 01218542

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