Provider Demographics
NPI:1215260658
Name:ARM ASSESSMENT REHABILITATION MANAGEMENT, INC.
Entity type:Organization
Organization Name:ARM ASSESSMENT REHABILITATION MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHAFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, OTR, CHT
Authorized Official - Phone:517-394-0775
Mailing Address - Street 1:3333 S PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-0702
Mailing Address - Country:US
Mailing Address - Phone:517-394-0775
Mailing Address - Fax:517-394-3211
Practice Address - Street 1:1106 N CEDAR ST
Practice Address - Street 2:SUITE 300
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-5334
Practice Address - Country:US
Practice Address - Phone:517-485-3640
Practice Address - Fax:517-485-3682
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARM ASSESSMENT REHABILITATION MANAGEMENT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-17
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501011899261QP2000X
261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2954799Medicaid
MI6400002OtherPHP
MI236579OtherMEDICARE ID
MI03443OtherBLUE CROSS BLUE SHIELD MI
MI236579OtherMEDICARE ID