Organization Active NPI

Heartland Rehabilitation Services of Michigan, LLC

Doing business as Heartland Rehabilitation Services

  • Rehabilitation Clinic/Center
  • Lambertville, MI
National Provider Identifier
1609903194
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
HEARTLAND REHABILITATION SERVICES OF MICHIGAN, LLC
Doing business as
Heartland Rehabilitation Services
Practice address
7577 Secor Rd
Lambertville, MI 48144-9624
Phone
(734) 856-6737
Fax
(734) 856-6741
NPI assigned
Feb 28, 2007
Last updated
Sep 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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

Authorized official

Name
Mr. Martin D. Allen
Title
Vice President - Reimbursements
Phone
(419) 252-5734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

7577 Secor Rd
Lambertville, MI 48144-9624

Mailing address

PO Box 10086
Toledo, OH 43699-1417
Phone (419) 252-5500

Other identifiers 1

IdentifierTypeStateIssuer
4691580MedicaidMI

Other names 1

  • Heartland Rehabilitation Services Doing business as

National Provider Directory

National Provider Directory

Locations

1024 S Old Woodward Ave
Birmingham, MI 48009
Phone (248) 594-4269

7577 Secor Rd
Lambertville, MI 48144
Phone (734) 856-6737

7581 Secor Rd
#1
Lambertville, MI 48144
Phone (734) 856-6737

6016 W Maple Rd
Ste 705
West Bloomfield, MI 48322
Phone (248) 539-2900

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": "1505174400000",
    "number": "1609903194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10086",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436991417",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7577 SECOR RD",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449624",
            "telephone_number": "734-856-6737",
            "fax_number": "734-856-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND REHABILITATION SERVICES OF MICHIGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "VICE PRESIDENT - REIMBURSEMENTS",
        "authorized_official_telephone_number": "419-252-5734",
        "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 Lambertville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; 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.