Provider Demographics
NPI:1730397597
Name:AMERICARE REHAB
Entity type:Organization
Organization Name:AMERICARE REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FERMAISH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:ASSOSIATE
Authorized Official - Phone:248-773-2226
Mailing Address - Street 1:29215 FORD RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-2849
Mailing Address - Country:US
Mailing Address - Phone:734-261-1970
Mailing Address - Fax:734-261-1999
Practice Address - Street 1:29215 FORD RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-2849
Practice Address - Country:US
Practice Address - Phone:734-261-1970
Practice Address - Fax:734-261-1999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI236793302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI236793Medicare ID - Type UnspecifiedPROVIDER NUMBER