Provider Demographics
NPI:1699777987
Name:REHABILITATION ASSOCIATES, INC
Entity type:Organization
Organization Name:REHABILITATION ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:BANASZAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-963-5934
Mailing Address - Street 1:601 S. SHORE DR
Mailing Address - Street 2:STE 121
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015
Mailing Address - Country:US
Mailing Address - Phone:269-963-5934
Mailing Address - Fax:269-963-8886
Practice Address - Street 1:601 S SHORE DR
Practice Address - Street 2:STE 121
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-5440
Practice Address - Country:US
Practice Address - Phone:269-963-5934
Practice Address - Fax:269-963-8886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI236616Medicare Oscar/Certification