Provider Demographics
NPI:1134338882
Name:REHABCARE
Entity type:Organization
Organization Name:REHABCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:DYANA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:HELT
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:262-673-2220
Mailing Address - Street 1:528 VIOLET AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:WI
Mailing Address - Zip Code:53027-1087
Mailing Address - Country:US
Mailing Address - Phone:262-673-0229
Mailing Address - Fax:
Practice Address - Street 1:1202 E SUMNER ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:WI
Practice Address - Zip Code:53027-1600
Practice Address - Country:US
Practice Address - Phone:262-673-2220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2571026314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility