Active NPI
Neuro Rehabcare of Waterloo LLC
- Physical Disabilities Residential Treatment Facility
- Waterloo, IA
National Provider Identifier
1477328110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- Legal business name
- NEURO REHABCARE OF WATERLOO LLC
- Practice address
- 33 Rachael St
Waterloo, IA 50701-5124 - Phone
- (913) 333-1009
- Fax
- (913) 257-3574
- NPI assigned
- Nov 22, 2023
- Last updated
- Nov 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dante Paterson
- Title
- Cfo
- Phone
- (913) 333-1009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | NU | Primary |
Addresses
Primary practice location
33 Rachael St
Waterloo, IA 50701-5124
Mailing address
13021 W 55TH St
Shawnee, KS 66216-1417
Phone (913) 333-1009
National Provider Directory
National Provider Directory- Tax ID family
- Neuro Rehabcare of Waterloo LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Disabilities Residential Treatment Facility
- Waterloo, IA
- NPI 1134648561
Locations
33 Rachael St
Waterloo, IA 50701
Phone (913) 333-1009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700611200000",
"number": "1477328110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13021 W 55TH ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662161417",
"telephone_number": "913-333-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 RACHAEL ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507015124",
"telephone_number": "913-333-1009",
"fax_number": "913-257-3574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURO REHABCARE OF WATERLOO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-22",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A",
"authorized_official_last_name": "PATERSON",
"authorized_official_first_name": "DANTE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "913-333-1009"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.