Serc - Lakewood Blvd
LBN: Serc Rehabilitation Partners Llc
Serc - Lakewood Blvd is an health care organization with primary practice located at 827 Ne Lakewood Blvd , Lees Summit MO 64064-1366. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Serc Rehabilitation Partners Llc can be contacted via phone (816) 533-6931, or through Johanneson, Kevin via phone (423) 238-7217.
Contact Information
Primary practice address
827 Ne Lakewood Blvd
Lees Summit MO 64064-1366
Phone: (816) 533-6931
Fax: (816) 350-3925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1790190593 |
|---|---|
| LBN Legal business name | Serc Rehabilitation Partners Llc |
| DBA Doing business as | Serc - Lakewood Blvd |
| Authorized official | Johanneson, Kevin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 1st, 2014 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790190593 | NPPES |
| Missouri | Other | MA4370 | MEDICARE PTAN |
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