National Provider Identifier Database

HEARTLAND REHABILITATION SERVICES OF VIRGINIA LLC
Rehabilitation


Contact Information

HEARTLAND REHABILITATION SERVICES OF VIRGINIA, LLC
3425 EXECUTIVE PKWY
SUITE 128
TOLEDO, OH43606-1326
Phone: 419-537-0764
Fax: 419-537-0948
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for HEARTLAND REHABILITATION SERVICES OF VIRGINIA, LLC

NPI Number 1497026017
Legal business name
LBN
HEARTLAND REHABILITATION SERVICES OF VIRGINIA, LLC
Authorized official BARRY LAZARUS - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/13/2012
Last updated 01/13/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 4978633

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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