Center For Independent Rehabilitative Services, Inc

LBN: Center For Independent Rehabilitative Services, Inc
Center For Independent Rehabilitative Services, Inc is an health care organization with primary practice located at 430 40Th Street 1St Floor, Oakland CA 94609-2522. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Center For Independent Rehabilitative Services, Inc can be contacted via phone (510) 653-9834, or through Rogers, Eddie G via phone (209) 845-8231.

Contact Information

Primary practice address
430 40Th Street 1St Floor Oakland CA 94609-2522
Phone: (510) 653-9834
Fax: (510) 653-9037
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Eddie G CPO
Phone: (209) 845-8231

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1518980515
LBN Legal business name Center For Independent Rehabilitative Services, Inc
DBA Doing business as
Authorized official Rogers, Eddie G CPO
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Dec 29th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518980515 NPPES
California MEDICAID GXC000860

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