At Home Med Rehab

LBN: Restoracare, Inc.
At Home Med Rehab is an health care organization with primary practice located at 6303 E Mallory St , Mesa AZ 85215-2114. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, 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. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Restoracare, Inc. can be contacted via phone (602) 619-8582, or through Van Arsdell, Lance Phillip via phone (602) 619-8582.

Contact Information

Primary practice address
6303 E Mallory St Mesa AZ 85215-2114
Phone: (602) 619-8582
Fax: (480) 654-0054
Website:
Map and Directions
Authorized official contact:
Name: Van Arsdell, Lance Phillip Physical Therapist (PT)
Phone: (602) 619-8582

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1578519062
LBN Legal business name Restoracare, Inc.
DBA Doing business as At Home Med Rehab
Authorized official Van Arsdell, Lance Phillip Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Jul 7th, 2009 - about 15 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 1578519062 NPPES
Arizona Other AZ0460670 BCBS PT AND OT BILLING #
Arizona MEDICAID 726052 BCBS PT AND OT BILLING #

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