Performance Plus Rehabilitation Center Llc

LBN: Performance Plus Rehabilitation Center Llc
Performance Plus Rehabilitation Center Llc is an health care organization with primary practice located at 1802 N Woodbine Rd. , St. Joseph MO 64506. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Chiropractic Providers / Chiropractor is the primary health care specialty. Performance Plus Rehabilitation Center Llc can be contacted via phone (816) 232-5113, or through Smith, Pamela Therese via phone (816) 232-5113.

Contact Information

Primary practice address
1802 N Woodbine Rd. St. Joseph MO 64506
Fax: (816) 232-0453
Website:
Authorized official contact:
Name: Smith, Pamela Therese

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CE006171 Missouri
Chiropractic Providers / Rehabilitation 111NR0400X CE006171 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2002011893 Missouri

Profile Details

NPI number 1962624510
LBN Legal business name Performance Plus Rehabilitation Center Llc
DBA Doing business as
Authorized official Smith, Pamela Therese
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Mar 21st, 2012 - about 12 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 1962624510 NPPES
Missouri Other 20689030 BCBS
Missouri MEDICAID 757861505 BCBS

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