HEARTLAND REHABILITATION SERVICES OF FLORIDA LLC NPI 1104925429

NPI Information

NPI: 1104925429
Provider Name: HEARTLAND REHABILITATION SERVICES OF FLORIDA LLC

Doing Business As: HEARTLAND REHABILITATION SERVICES

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
15260 NW 147TH DR
ALACHUA, FL
ZIP 32615
Phone: (386) 462-4349
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HEARTLAND REHABILITATION SERVICES OF FLORIDA LLC is a rehabilitation clinic center in Alachua, FL. HEARTLAND REHABILITATION SERVICES OF FLORIDA LLC NPI is 1104925429. The provider is registered as an organization entity type.
The provider Is Doing Business As Heartland Rehabilitation Services.

The provider's business location address is:

15260 NW 147TH DR
ALACHUA, FL
ZIP 32615-309
Phone: (386) 462-4349
Fax: (386) 418-0824

The provider's authorized official is Barry A Lazarus .
The authorized official title is Vice President - Reimbursements and has the following contact phone number (419) 252-5541.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4827470030	MEDICARE NSC	FLORIDA
2	4477946	OTHER	FLORIDA	AETNA NON-HMO
3	1617682	OTHER	FLORIDA	CIGNA
4	686508	MEDICARE OSCAR/CERTIFICATION	FLORIDA
5	=========044	OTHER	FLORIDA	TRICARE
6	Q1C	OTHER	FLORIDA	BCBS
7	102701	OTHER	FLORIDA	AVMED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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