Basic Information
| Provider Information | |||||||||
| NPI: | 1497897516 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REHAB DESIGNS, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11700 COMMONWEALTH DR | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402996303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5022669061 | ||||||||
| FaxNumber: | 5022666251 | ||||||||
| Practice Location | |||||||||
| Address1: | 11700 COMMONWEALTH DR | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402996303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5022669061 | ||||||||
| FaxNumber: | 5022666251 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | HUGG | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | MICHAEL | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5022669061 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332BC3200X | Y | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment |
ID Information
| ID | Type | State | Issuer | Description | 90980566 | 05 | KY | MEDICAID |