Provider Demographics
NPI:1801789565
Name:NEGRIL PHYSIOCARE REHABILITATION LLC
Entity type:Organization
Organization Name:NEGRIL PHYSIOCARE REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAUDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VERNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-830-0088
Mailing Address - Street 1:PO BOX 1143
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90249-0143
Mailing Address - Country:US
Mailing Address - Phone:323-830-0088
Mailing Address - Fax:
Practice Address - Street 1:NORMAN MANLEY BLVD
Practice Address - Street 2:
Practice Address - City:NEGRIL
Practice Address - State:WESTMORELAND
Practice Address - Zip Code:JMDWD14
Practice Address - Country:JM
Practice Address - Phone:876-498-7492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No251J00000XAgenciesNursing Care
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Multi-Specialty