Kids Rehab

LBN: Knoxville Integrated Developmental Services, Inc.
Kids Rehab is an health care organization with primary practice located at 9047 Executive Park Dr Suite 115, Knoxville TN 37923-4605. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Knoxville Integrated Developmental Services, Inc. can be contacted via phone (865) 539-1928, or through Rodgers, Samantha via phone (865) 539-1928.

Contact Information

Primary practice address
9047 Executive Park Dr Suite 115 Knoxville TN 37923-4605
Phone: (865) 539-1928
Fax: (865) 539-6461
Website:
Map and Directions
Authorized official contact:
Name: Rodgers, Samantha
Phone: (865) 539-1928

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1457525446
LBN Legal business name Knoxville Integrated Developmental Services, Inc.
DBA Doing business as Kids Rehab
Authorized official Rodgers, Samantha
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2008
Last updated May 14th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457525446 NPPES
Tennessee Other 4177096 BCBS

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