Provider Demographics
NPI:1316954423
Name:TOLEDO REHABILITATION GROUP
Entity type:Organization
Organization Name:TOLEDO REHABILITATION GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLEMBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-479-5960
Mailing Address - Street 1:PO BOX 28
Mailing Address - Street 2:
Mailing Address - City:LAMBERTVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48144-0028
Mailing Address - Country:US
Mailing Address - Phone:419-479-5960
Mailing Address - Fax:419-479-5435
Practice Address - Street 1:4235 SECOR RD
Practice Address - Street 2:#B3
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4231
Practice Address - Country:US
Practice Address - Phone:419-479-5960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH7417696OtherCIGNA
OH00000157408OtherANTHEM BCBS
OH0611556Medicaid
OH00000157408OtherANTHEM BCBS