Provider Demographics
NPI:1962093732
Name:CARE REHAB LLC
Entity type:Organization
Organization Name:CARE REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AVANTHI
Authorized Official - Middle Name:
Authorized Official - Last Name:AVADHANAM
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:609-955-2240
Mailing Address - Street 1:11 HAWTHORN DR
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-1932
Mailing Address - Country:US
Mailing Address - Phone:609-955-2240
Mailing Address - Fax:
Practice Address - Street 1:1450 PARKSIDE AVE STE 4
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08638-2948
Practice Address - Country:US
Practice Address - Phone:609-955-2240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy