MEDICARE: OVERLAND PARK NURSING & REHAB CENTER INC

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	314000000X	Skilled Nursing Facility	N046026	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346288313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OVERLAND PARK NURSING & REHAB CENTER INC

Provider Business Mailing Address
First Line	:	900 HOPE WAY
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-1502
Country	:	US
Telephone Number	:	407-975-3000
Fax Number	:	407-975-3090

Provider Business Practice Location Address
First Line	:	6501 W 75TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66204-3074
Country	:	US
Telephone Number	:	913-383-9866
Fax Number	:	913-383-1629

Authorized Official
Title or Position	:	ASST SECRETARY
Name	:	MR. DAVID RODMAN
Credential	:
Telephone Number	:	407-975-3011

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	11/27/2023

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