Provider Demographics
NPI:1770915449
Name:REHAB CARE
Entity type:Organization
Organization Name:REHAB CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPY ASST.
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STIENS
Authorized Official - Suffix:
Authorized Official - Credentials:COTA/L
Authorized Official - Phone:913-909-9903
Mailing Address - Street 1:5409 AMINDA ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-2630
Mailing Address - Country:US
Mailing Address - Phone:913-441-1038
Mailing Address - Fax:
Practice Address - Street 1:5901 W 107TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66207-3882
Practice Address - Country:US
Practice Address - Phone:913-871-4502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS18-00287320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities