Fuller Rehabilitation

LBN: Fuller Rehabilitation And Consulting Services Inc.
Fuller Rehabilitation is an health care organization with primary practice located at 806 Ulrich Avenue , Louisville KY 40219-1846. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Customized Equipment is the primary health care specialty. Fuller Rehabilitation And Consulting Services Inc. can be contacted via phone (502) 966-0823, or through Fuller, Carter D. via phone (706) 965-0352.

Contact Information

Primary practice address
806 Ulrich Avenue Louisville KY 40219-1846
Phone: (502) 966-0823
Fax: (502) 966-0824
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Carter D.
Phone: (706) 965-0352

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Kentucky
Suppliers / Customized Equipment 332BC3200X Kentucky

Profile Details

NPI number 1366549578
LBN Legal business name Fuller Rehabilitation And Consulting Services Inc.
DBA Doing business as Fuller Rehabilitation
Authorized official Fuller, Carter D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 20th, 2006
Last updated May 11th, 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 1366549578 NPPES
Kentucky MEDICAID 90001918

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