Active NPI
Heartland Rehabilitation Services of Michigan, LLC
Doing business as Heartland Rehabilitation Services
- Rehabilitation Clinic/Center
- Lambertville, MI
National Provider Identifier
1609903194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- 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, 2017
- 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. Martin D. Allen
- Title
- Vice President - Reimbursements
- Phone
- (419) 252-5734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| 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
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.