Provider Demographics
NPI:1023134004
Name:AMERICAN REHAB EQUIPMENT CO
Entity type:Organization
Organization Name:AMERICAN REHAB EQUIPMENT CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:LANCASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-322-8696
Mailing Address - Street 1:9730 MLK JR HWY
Mailing Address - Street 2:E
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706
Mailing Address - Country:US
Mailing Address - Phone:301-322-8696
Mailing Address - Fax:301-322-7565
Practice Address - Street 1:3321 75TH AVE
Practice Address - Street 2:STE F
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-1519
Practice Address - Country:US
Practice Address - Phone:301-322-8696
Practice Address - Fax:301-322-7565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD017301100Medicaid
VA009101527Medicaid
DC027440600Medicaid
VA009101527Medicaid
DC027440600Medicaid