Provider Demographics
NPI:1447282041
Name:ASHEBORO REHABILITATION CENTER INC.
Entity type:Organization
Organization Name:ASHEBORO REHABILITATION CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MINI
Authorized Official - Middle Name:HANSPAL
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:336-318-1111
Mailing Address - Street 1:19-F 1 NC HIGHWAY 42 N
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-7964
Mailing Address - Country:US
Mailing Address - Phone:336-318-1111
Mailing Address - Fax:336-318-1193
Practice Address - Street 1:191 NC HIGHWAY 42 N
Practice Address - Street 2:STE F
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-7964
Practice Address - Country:US
Practice Address - Phone:336-318-1111
Practice Address - Fax:336-318-1193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2325261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7207976Medicaid
NC07975OtherBLUE CROSS BLUE SHIELD
NC07975OtherBLUE CROSS BLUE SHIELD