Ice Cap Rehab, Llc

LBN: Ice Cap Rehab, Llc
Ice Cap Rehab, Llc is an health care organization with primary practice located at 10451 W Palmeras Dr Suite 237W, Sun City AZ 85373-2011. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty. Ice Cap Rehab, Llc can be contacted via phone (623) 933-1896, or through Panaligan, Jenneth C via phone (630) 369-8450.

Contact Information

Primary practice address
10451 W Palmeras Dr Suite 237W Sun City AZ 85373-2011
Phone: (623) 933-1896
Fax: (623) 933-4015
Website:
Map and Directions
Authorized official contact:
Name: Panaligan, Jenneth C Registered Nurse (RN)
Phone: (630) 369-8450

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1629212691
LBN Legal business name Ice Cap Rehab, Llc
DBA Doing business as
Authorized official Panaligan, Jenneth C Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2009
Last updated Nov 18th, 2009 - about 17 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 1629212691 NPPES
Arizona Other 1629212691 BLUE CROSS BLUE SHIELD

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