Provider Demographics
NPI:1487793279
Name:UNITED HEALTH AND REHABILITATION, LLC
Entity type:Organization
Organization Name:UNITED HEALTH AND REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:DART
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:540-349-7224
Mailing Address - Street 1:PO BOX 126
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20188-0126
Mailing Address - Country:US
Mailing Address - Phone:540-349-7224
Mailing Address - Fax:540-349-4117
Practice Address - Street 1:236 ALEXANDRIA PIKE
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186
Practice Address - Country:US
Practice Address - Phone:540-349-7224
Practice Address - Fax:540-349-8117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA49-6701Medicare ID - Type UnspecifiedREHABILITATION AGENCY