| Cardinal Health Care And Rehabilitation Center, Inc | |
|
3101 Breckenridge Ln Ste 2a Louisville KY 40220-2742 | |
| (502) 454-0000 | |
| (502) 454-6002 |
| Full Name | Cardinal Health Care And Rehabilitation Center, Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3101 Breckenridge Ln Ste 2a, Louisville, Kentucky |
| Authorized Official Name and Position | Lisa Lorenzo (MANAGER) |
| Authorized Official Contact | 5022699772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Health Care And Rehabilitation Center, Inc 3101 Breckenridge Ln Ste 2a Louisville KY 40220-2742 Ph: (502) 454-0000 | Cardinal Health Care And Rehabilitation Center, Inc 3101 Breckenridge Ln Ste 2a Louisville KY 40220-2742 Ph: (502) 454-0000 |
| NPI Number | 1811312788 |
|---|---|
| Provider Enumeration Date | 02/28/2014 |
| Last Update Date | 09/17/2021 |
| Medicare PECOS PAC ID | 8628310745 |
|---|---|
| Medicare Enrollment ID | O20190419000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811312788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Anthony T Remson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134128754 PECOS PAC ID: 0345247714 Enrollment ID: I20101022000003 |
| Provider Name | Borru M Liou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700165636 PECOS PAC ID: 2961643945 Enrollment ID: I20130802000654 |
| Provider Name | Teresa White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437632577 PECOS PAC ID: 9931450913 Enrollment ID: I20181002000962 |
| Provider Name | Marina Dolzhanskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376050518 PECOS PAC ID: 6406189596 Enrollment ID: I20190604002843 |
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