Active NPI
Heartland Rehabilitation Services of Michigan, LLC
- Rehabilitation Clinic/Center
- Birmingham, MI
National Provider Identifier
1477680965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- HEARTLAND REHABILITATION SERVICES OF MICHIGAN, LLC
- Practice address
- 1024 S Old Woodward Ave
Birmingham, MI 48009-6705 - Phone
- (248) 594-4269
- Fax
- (248) 594-7381
- NPI assigned
- Feb 28, 2007
- 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
- Mr. Barry A Lazarus
- Title
- Vice President - Reimbursements
- Phone
- (419) 252-5541
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
1024 S Old Woodward Ave
Birmingham, MI 48009-6705
Mailing address
3425 Executive Pkwy
Suite 128
Toledo, OH 43606-1326
Phone (419) 537-0764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4691580 | Medicaid | MI |
Other names 1
- Heartland Rehabilitation Services
National Provider Directory
National Provider DirectoryLocations
1024 S Old Woodward Ave
Birmingham, MI 48009
Phone (248) 594-4269
7581 Secor Rd
Unit 1
Lambertville, MI 48144
Phone (734) 856-6737
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Lambertville, MI
- NPI 1730389032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238544000000",
"number": "1477680965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 EXECUTIVE PKWY",
"address_2": "SUITE 128",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061326",
"telephone_number": "419-537-0764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 S OLD WOODWARD AVE",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480096705",
"telephone_number": "248-594-4269",
"fax_number": "248-594-7381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND REHABILITATION SERVICES OF MICHIGAN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2009-04-01",
"status": "A",
"authorized_official_last_name": "LAZARUS",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VICE PRESIDENT - REIMBURSEMENTS",
"authorized_official_telephone_number": "419-252-5541",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4691580",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heartland Rehabilitation Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.