NEURO REHABCARE OF WATERLOO LLC (NPI# 1134648561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134648561 |
| Entity Type | Organization |
| Organization Name | NEURO REHABCARE OF WATERLOO LLC |
| Practice Address |
35 Rachael St Waterloo IA 50701-5124 |
| Mailing Address |
10800 Farley St Ste 265 Overland Park KS 66210-1693 |
| Practice Telephone | 3194627990 |
| Practice Fax Number | 3194627999 |
| Mailing Telephone | 9133459300 |
| Mailing Fax Number | 9133451920 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Authorized Official Name | DANTE PATERSON (CONTROLLER) |
| Authorized Official Telephone | 9139616838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Street Address |
35 RACHAEL ST |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-5124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322728 | Good Samaritan Society | Residential Treatment Facility, Physical Disabilities | 721 S Kiel St, Holstein, IA 51025-5041 | 2015-12-11 |
| 1235258658 | Chariton Group Home Develop Corp | Residential Treatment Facility, Physical Disabilities | 1221 Brookdale Ave, Chariton, IA 50049-1531 | 2007-03-28 |
| 1366589004 | Brees Rest Home Inc | Residential Treatment Facility, Physical Disabilities | 210 Washington Ave E, Albia, IA 52531 | 2007-01-31 |
| 1619030988 | Pella Regional Health Center | Residential Treatment Facility, Physical Disabilities | 408 Jefferson St, Pella, IA 50219-1257 | 2006-12-18 |
| 1194999094 | Iowa School for The Deaf | Residential Treatment Facility, Physical Disabilities | 3501 Harry Langdon Blvd, Council Bluffs, IA 51503-7837 | 2008-04-22 |
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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.