Healthreach Rehabilitation Services, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

HEALTHREACH REHABILITATION SERVICES, INC.

Practice address

17280 W North Ave
#104
Brookfield, WI 53045-4366

Phone

(262) 780-0707

Fax

(262) 780-0717

NPI assigned

Nov 14, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Booz

Title

HR Director

Phone

(262) 780-0707

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548242829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17280 W NORTH AVE",
            "address_2": "#104",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454366",
            "telephone_number": "262-780-0707",
            "fax_number": "262-780-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17280 W NORTH AVE",
            "address_2": "#104",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454366",
            "telephone_number": "262-780-0707",
            "fax_number": "262-780-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHREACH REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOOZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "262-780-0707"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41809800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Rehabilitation Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.