Organization Active NPI

Neuro Rehabcare of Waterloo LLC

  • Physical Disabilities Residential Treatment Facility
  • Waterloo, IA
National Provider Identifier
1477328110
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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)CodeLicenseStatePrimary
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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.