Provider Demographics
NPI:1275174393
Name:SHAWNEE HEALTH & REHAB LLC
Entity Type:Organization
Organization Name:SHAWNEE HEALTH & REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING & OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-335-7438
Mailing Address - Street 1:13509 W 67TH ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66216-2300
Mailing Address - Country:US
Mailing Address - Phone:816-335-7438
Mailing Address - Fax:
Practice Address - Street 1:13509 W 67TH ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66216-2300
Practice Address - Country:US
Practice Address - Phone:816-335-7438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHAWNEE HEATH & REHAB LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility