Provider Demographics
NPI:1285082099
Name:REHAB BY RVNA, LLC
Entity type:Organization
Organization Name:REHAB BY RVNA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:TREVELIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-438-5555
Mailing Address - Street 1:27 GOVERNOR ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-4657
Mailing Address - Country:US
Mailing Address - Phone:203-438-5555
Mailing Address - Fax:203-431-5618
Practice Address - Street 1:27 GOVERNOR ST
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4657
Practice Address - Country:US
Practice Address - Phone:203-438-5555
Practice Address - Fax:203-431-5618
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISITING NURSE ASSOCIATION OF RIDGEFIELD, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-02
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD100325328OtherMEDICARE PTAN