MEDICARE: REHABILITATION HOSPITAL OF NORTHWEST OHIO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283X00000X	Rehabilitation Hospital

General Provider Information

NPI Number	:	1093170417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABILITATION HOSPITAL OF NORTHWEST OHIO LLC

Provider Business Mailing Address
First Line	:	1024 N GALLOWAY AVE STE 102
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75149-2434
Country	:	US
Telephone Number	:	972-216-2299
Fax Number	:

Provider Business Practice Location Address
First Line	:	1455 WEST MEDICAL LOOP
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-8015
Country	:	US
Telephone Number	:	419-214-6600
Fax Number	:	419-214-6601

Authorized Official
Title or Position	:	VICE PRESIDENT AND SECRETARY
Name	:	DENISE KANN
Credential	:
Telephone Number	:	972-216-2299

Provider Enumeration Date	:	12/30/2015
Last Update Date	:	11/14/2025

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