HEARTLAND REHABILITATION SERVICES OF FLORIDA LLC (NPI# 1407955586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407955586 |
Entity Type | Organization |
Organization Name | HEARTLAND REHABILITATION SERVICES OF FLORIDA LLC |
Other Organization Name | HEARTLAND REHABILITATION SERVICES |
Practice Address |
2549 Park St Jacksonville FL 32204-4517 |
Mailing Address |
540 Kingsley Ave Orange Park FL 32073-4847 |
Practice Telephone | 9043882246 |
Practice Fax Number | 9043882454 |
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 | 028493900 | 05 | |
FL | DEPARTMENT OF LABOR | 160630502 | 01 |
FL | AVMED | 102701 | 01 |
FL | CIGNA | 3141467 | 01 |
FL | AETNA NON-HMO | 4477946 | 01 |
FL | 8845212-03 | 05 |
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 |
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 |
1104925429 | Heartland Rehabilitation Services of Florida LLC | Clinic/Center | 15260 Nw 147th Dr, Alachua, FL 32615-5309 | 2006-09-22 |
Street Address |
2549 PARK ST |
City | JACKSONVILLE |
State | FL |
Zip Code | 32204-4517 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659419000 | John Edward Spreier II | Occupational Therapist | 2549 Park St, Jacksonville, FL 32204-4517 | 2007-02-01 |
1144307224 | Georgia Lee Gill | Orthopaedic Surgery | 2549 Park St, Jacksonville, FL 32204-4517 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
Find all providers in zip 32204 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336769801 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 484 Riverside Ave, Jacksonville, FL 32202-4912 | 2020-04-24 |
1669039400 | Genesis Health Development, Inc. | Clinic/Center | 463721 Sr 200, Suite 7, Jacksonville, FL 32097 | 2019-05-28 |
1083179477 | Virtual Therapy Solutions LLC | Clinic/Center | 5048 Paradise Pond Ln, Jacksonville, FL 32207-7623 | 2019-02-10 |
1396283941 | Cora Health Services Inc | Clinic/Center | 15255 Max Leggett Pkwy Ste 5300, Jacksonville, FL 32218-7274 | 2017-02-03 |
1225381221 | Heartland Rehabilitation Services of Florida, LLC | Clinic/Center | 100 N Laura St, Floor 2, Jacksonville, FL 32202-3635 | 2012-10-16 |
1063709152 | Cora Health Services Inc. | Clinic/Center | 9527 Regency Square Blvd, Unit 105, Jacksonville, FL 32225-8806 | 2011-07-08 |
1063681831 | Genesis Health Development, Inc. | Clinic/Center | 2700 University Blvd W, Jacksonville, FL 32217-2147 | 2008-02-26 |
1164596649 | Heartland Rehabilitation Services of Florida LLC | Clinic/Center | 1045 Riverside Ave, Suite 190, Jacksonville, FL 32204-4127 | 2006-11-17 |
1912078445 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 12525 Philips Hwy Ste 111, Jacksonville, FL 32256-3740 | 2006-11-13 |
1407943160 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 4820 Deer Lake Drive West, Suite D-9, Jacksonville, FL 32246-4502 | 2006-10-06 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32204 |
Please comment or provide details below to improve the information on HEARTLAND REHABILITATION SERVICES OF FLORIDA LLC.
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.