Provider Demographics
NPI:1700137353
Name:TRUREHAB LLC
Entity type:Organization
Organization Name:TRUREHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-760-2348
Mailing Address - Street 1:12251 HIGHWAY 41 N
Mailing Address - Street 2:SUITE A
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-7014
Mailing Address - Country:US
Mailing Address - Phone:812-868-1222
Mailing Address - Fax:866-377-7006
Practice Address - Street 1:12251 HIGHWAY 41 N
Practice Address - Street 2:SUITE A
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47725-7014
Practice Address - Country:US
Practice Address - Phone:812-868-1222
Practice Address - Fax:866-377-7006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-23
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06000488A314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility