# REHABCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669595013
- **Authorized official:** MRS. POONAM BAJAJ OTR (PROGRAM DIRECTOR)
- **Authorized official phone:** (913) 631-9108

## Contact information

- **Practice address:** 8101 MISSION RD, PRAIRIE VILLAGE, KS 66208-5238
- **Practice address phone:** (913) 385-5021
- **Practice address fax:** (913) 385-5021
- **Mailing address:** 12510 W 62ND TER STE 107, SHAWNEE, KS 66216-1869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1702106 | KS | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 37636011 | BCBS PROVIDER NUMBER | KS |