Provider Demographics
NPI:1740233014
Name:REHABCARE GROUP EAST, LLC
Entity Type:Organization
Organization Name:REHABCARE GROUP EAST, LLC
Other - Org Name:REHABCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRANCE
Authorized Official - Middle Name:K
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-596-7220
Mailing Address - Street 1:15301 W 87TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1401
Mailing Address - Country:US
Mailing Address - Phone:913-685-5892
Mailing Address - Fax:913-685-5892
Practice Address - Street 1:15301 W 87TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219
Practice Address - Country:US
Practice Address - Phone:913-685-5892
Practice Address - Fax:913-685-5892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS176552Medicare Oscar/Certification