NPIMap

Organization Active NPI

Rehabcare

  • Skilled Nursing Facility
  • Prairie Village, KS
National Provider Identifier
1669595013
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1702106 Issued in KS
Legal business name
REHABCARE
Practice address
8101 Mission Rd
Prairie Village, KS 66208-5238
Phone
(913) 385-5021
Fax
(913) 385-5021
NPI assigned
Apr 9, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Poonam Bajaj, OTR
Title
Program Director
Phone
(913) 631-9108

Corporate family (same tax ID) 12

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

National Provider Directory

National Provider Directory
Tax ID family
Rehab Care (13 organizations share this tax ID)

Locations

12510 W 62nd Ter
Ste 107
Shawnee Mission, KS 66216
Phone (913) 631-9108

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1702106 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

8101 Mission Rd
Prairie Village, KS 66208-5238

Mailing address

12510 W 62ND Ter Ste 107
Shawnee, KS 66216-1869

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
37636011OtherKSBCBS PROVIDER NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669595013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 W 62ND TER STE 107",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 MISSION RD",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085238",
            "telephone_number": "913-385-5021",
            "fax_number": "913-385-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAJAJ",
        "authorized_official_first_name": "POONAM",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "913-631-9108",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "1702106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "37636011",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • 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.