| Entity Name: | COMMUNITY REHAB SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 May 1999 (26 years ago) |
| Document Number: | P99000043200 |
| FEI/EIN Number | 650924797 |
| Address: | 1650 MEDICAL LANE, SUITE 4, FORT MYERS, FL, 33907 |
| Mail Address: | 70 MCKENZIE RD., PARSONS, TN, 38363 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700843414 | 2006-04-27 | 2020-08-22 | 838 SW 56TH ST, CAPE CORAL, FL, 339147223, US | 1650 MEDICAL LN, FORT MYERS, FL, 339071109, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 239-277-9818 |
| Fax | 2392779289 |
Authorized person
| Name | BARBARA MEUSSNER |
| Role | PRESIDENT |
| Phone | 2392779818 |
Taxonomy
| Taxonomy Code | 225400000X - Rehabilitation Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS GROUP NUMBER |
| Number | Y902L |
| State | FL |
| Issuer | UNITED HC GROUP NUMBER |
| Number | 002093607001 |
| State | FL |
| Issuer | AMERIGROUP GROUP NUMBER |
| Number | 217514 |
| State | FL |
| Issuer | STAYWELL GROUP NUMBER |
| Number | N275952 |
| State | FL |
| Issuer | FIRST HEALTH GROUP NUMBER |
| Number | 2078557 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MEUSSNER BARBARA | Agent | 70 MCKENZIE RD, PARSONS TN., FL, 38363 |
| Name | Role | Address |
|---|---|---|
| MEUSSNER BARBARA | Director | 70MCKENZIE RD, PARSONS, TN, 38363 |
| Name | Role | Address |
|---|---|---|
| MEUSSNER BARBARA | President | 70MCKENZIE RD, PARSONS, TN, 38363 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2008-10-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
