HEARTLAND REHABILITATION SERVICES OF FLORIDA LLC (NPI# 1104925429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104925429 |
| Entity Type | Organization |
| Organization Name | HEARTLAND REHABILITATION SERVICES OF FLORIDA LLC |
| Other Organization Name | HEARTLAND REHABILITATION SERVICES |
| Practice Address |
15260 Nw 147th Dr Alachua FL 32615-5309 |
| Mailing Address |
540 Kingsley Ave Orange Park FL 32073-4847 |
| Practice Telephone | 3864624349 |
| Practice Fax Number | 3864180824 |
| Mailing Telephone | 9042642156 |
| Mailing Fax Number | 9042648350 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS) |
| Authorized Official Telephone | 4192525541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA NON-HMO | 4477946 | 01 |
| FL | CIGNA | 1617682 | 01 |
| FL | BCBS | Q1C | 01 |
| FL | AVMED | 102701 | 01 |
| Other Name | Type Code |
|---|---|
| Heartland Rehabilitation Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639682545 | Heartland Rehabilitation Services of Florida LLC | Clinic/Center | 301 S Myrtle Ave, New Smyrna, FL 32168-6900 | 2017-11-14 |
| 1164596649 | Heartland Rehabilitation Services of Florida LLC | Clinic/Center | 1045 Riverside Ave, Suite 190, Jacksonville, FL 32204-4127 | 2006-11-17 |
| 1407955586 | Heartland Rehabilitation Services of Florida LLC | Clinic/Center | 2549 Park St, Jacksonville, FL 32204-4517 | 2006-09-22 |
| 1619077500 | Heartland Rehabilitation Services of Florida LLC | Clinic/Center | 11363 San Jose Blvd, Suite 201, Jacksonville, FL 32223-7957 | 2006-09-22 |
| 1932209889 | Heartland Rehabilitation Services of Florida LLC | Clinic/Center | 2044 E. Sample Road, Lighthouse Point, FL 33064-7596 | 2006-09-22 |
| 1801849823 | Heartland Rehabilitation Services of Florida LLC | Clinic/Center | 5995 Sw 71st St, South Miami, FL 33143-3531 | 2006-05-19 |
| 1831142108 | Heartland Rehabilitation Services of Florida LLC | Clinic/Center | 3760 Nw 83rd St, Suite 3, Gainesville, FL 32606-5603 | 2006-05-18 |
| 1477697407 | Heartland Rehabilitation Services of Florida LLC | Clinic/Center | 540 Kingsley Ave, Orange Park, FL 32073-4847 | 2007-02-15 |
| 1851471262 | Heartland Rehabilitation Services of Florida LLC | Clinic/Center | 2245 Plantation Center Dr, Building 9 Suite 59, Orange Park, FL 32003-3352 | 2006-10-17 |
| 1184724023 | Heartland Rehabilitation Services of Florida LLC | Clinic/Center | 950 N Krome Ave, Suite 403, Homestead, FL 33030-4400 | 2006-09-22 |
| Street Address |
15260 NW 147TH DR |
| City | ALACHUA |
| State | FL |
| Zip Code | 32615-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335145 | James Mccauley Md Pa | Internal Medicine | 15260 Nw 147th Dr, Suite 100, Alachua, FL 32615-5309 | 2005-09-07 |
| 1043661994 | Little Pine Pediatrics Pllc | Pediatrics | 15260 Nw 147th Dr, Suite 200, Alachua, FL 32615-5338 | 2016-06-22 |
| 1508258534 | Julie R Graham | Nurse Practitioner | 15260 Nw 147th Dr, Alachua, FL 32615-5338 | 2015-02-27 |
| 1942621719 | April Bayless-sakellarios | Nurse Practitioner | 15260 Nw 147th Dr, Suite 100, Alachua, FL 32615-5338 | 2013-12-22 |
| 1700870367 | James W Mccauley | Internal Medicine | 15260 Nw 147th Dr, Alachua, FL 32615-5309 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013568138 | Stanaria Richardson Flagg | Technician | 7804 W Sr, Alachua, FL 32615 | 2019-09-20 |
| 1417439191 | One Stop Medical and Urgent Care | Family Medicine | 15652 Nw Hwy 441, Ste. D, Alachua, FL 32615 | 2018-08-30 |
| 1124448808 | Norman Victor Grachis | Counselor | 13237 Nw 173rd Lane, Alachua, FL 32615 | 2014-04-22 |
| 1770823684 | Maria Bang Fiedler | Physical Therapist | 702 Turkey Crk, Alachua, FL 32615 | 2013-03-01 |
| 1295019990 | North Central Florida Neurodiagnostic Services, LLC | Clinical Medical Laboratory | 12076 Technology Ave, Alachua, FL 32615 | 2011-09-30 |
| 1437469194 | Teresa Elaine Roane | Pharmacist | 23729 Nw 110th Ave, Alachua, FL 32615 | 2010-10-15 |
| 1184802522 | Alachua Family Dentistry | Dentist | 14690 Nw 151st Blvd, Unit 20, Alachua, FL 32615 | 2008-02-07 |
| 1477766145 | Brian Carl Hill | Military Health Care Provider | 10906 Nw 156 Ave, Alachua, FL 32615 | 2007-05-08 |
| 1124145719 | Marc Vincent Cauchon | Dentist | 14601 N.w. 140 Street, Alachua, FL 32615 | 2007-03-26 |
| 1174664437 | Anne M. Andrews | Massage Therapist | 13700 Us Highway 441, Alachua, FL 32615 | 2007-02-09 |
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| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 1205440815 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3511 Vanderbilt Beach Rd, Naples, FL 34109-1342 | 2020-09-01 |
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| 1649894361 | Yemaya Medical Center LLC | Clinic/Center | 2141 Sw 1st St Ste 206a, Miami, FL 33135-5603 | 2020-05-29 |
| 1336769801 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 484 Riverside Ave, Jacksonville, FL 32202-4912 | 2020-04-24 |
| 1649806787 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 111 N County Highway 393 Ste 201, Santa Rosa Beach, FL 32459-5366 | 2020-03-20 |
| 1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.