Serc - Grain Valley

LBN: Serc Rehabilitation Partners Llc
Serc - Grain Valley is an health care organization with primary practice located at 103 Sw Eagles Pkwy , Grain Valley MO 64029-8512. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Serc Rehabilitation Partners Llc can be contacted via phone (816) 443-2375, or through Johanneson, Kevin via phone (423) 238-7217.

Contact Information

Primary practice address
103 Sw Eagles Pkwy Grain Valley MO 64029-8512
Phone: (816) 443-2375
Fax: (816) 443-2380
Website:
Map and Directions
Authorized official contact:
Name: Johanneson, Kevin
Phone: (423) 238-7217

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1013311257
LBN Legal business name Serc Rehabilitation Partners Llc
DBA Doing business as Serc - Grain Valley
Authorized official Johanneson, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2014
Last updated Oct 17th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013311257 NPPES
Missouri Other MA4370 MEDICARE PTAN

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