Phoenix Rehab Group, Llc

LBN: Phoenix Rehab Group, Llc
Phoenix Rehab Group, Llc is an health care organization with primary practice located at 1600 Scottsville Rd Suite 101, Bowling Green KY 42104-3217. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Phoenix Rehab Group, Llc can be contacted via phone (270) 781-0028, or through Norman, Brad via phone (270) 781-0028.

Contact Information

Primary practice address
1600 Scottsville Rd Suite 101 Bowling Green KY 42104-3217
Fax: (270) 781-0007
Website:
Authorized official contact:
Name: Norman, Brad

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 101011 Kentucky

Profile Details

NPI number 1841261914
LBN Legal business name Phoenix Rehab Group, Llc
DBA Doing business as
Authorized official Norman, Brad
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2006
Last updated Apr 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841261914 NPPES
Kentucky Other 000000375294 ANTHEM GROUP SLP
Kentucky Other 2224590 ANTHEM GROUP SLP
Kentucky MEDICAID 87900817 ANTHEM GROUP SLP
Kentucky Other 000000375301 ANTHEM GROUP SLP
Kentucky MEDICAID 88900071 ANTHEM GROUP SLP
Kentucky Other 000000337293 ANTHEM GROUP SLP
Kentucky MEDICAID 91000042 ANTHEM GROUP SLP

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