Healthcare Provider Details

I. General information

NPI: 1821404237
Provider Name (Legal Business Name): HEARTLAND REHABILITATION HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2014
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 INDIAN CREEK PARKWAY
OVERLAND PARK KS
66207-4115
US

IV. Provider business mailing address

1828 GOOD HOPE RD SUITE 102
ENOLA PA
17025-1233
US

V. Phone/Fax

Practice location:
  • Phone: 913-544-1957
  • Fax: 913-544-1958
Mailing address:
  • Phone: 717-731-9660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY F MISITANO
Title or Position: PRESIDENT
Credential:
Phone: 717-731-9660