RESTORE HEALTHCARE NPI 1639513708

NPI Information

NPI: 1639513708
Provider Name: RESTORE HEALTHCARE

Other Name: RESTORE HEALTHCARE MEDICAL GROUP

Classification: Registered Nurse - 163WC0400X
Entity Type: Organization

Specialization: Case Management

Address:
4350 MAIN ST
SUITE 211
HARRISBURG, NC
ZIP 28075
Phone: (704) 559-9408
Get Directions

RESTORE HEALTHCARE is a case management registered nurse in Harrisburg, NC. RESTORE HEALTHCARE NPI is 1639513708. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Restore Healthcare Medical Group.

The provider's business location address is:

4350 MAIN ST
SUITE 211
HARRISBURG, NC
ZIP 28075-433
Phone: (704) 559-9408
Fax: (704) 731-0975

The provider's authorized official is Chris Jarrett .
The authorized official title is Executive Director and has the following contact phone number (704) 559-9408.

The enumeration date for this NPI number is 4/19/2013 and was last updated on 6/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	235Z00000X	Speech-Language Pathologist			No
2	225X00000X	Occupational Therapist			No
3	225100000X	Physical Therapist			No
4	101YM0800X	Counselor	Mental Health		No
5	133VN1005X	Dietitian, Registered	Nutrition, Renal	NORTH CAROLINA	No
6	163WC0400X	Registered Nurse	Case Management	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	NORTH CAROLINA	TRICARE
2	=========	MEDICAID	NORTH CAROLINA
3	REHABILITATIVE	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD
4	=========	MEDICARE PIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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