Complete Rehab

LBN: Complete Rehab
Complete Rehab is an health care organization with primary practice located at 6000 Meadow Brook Mall Suite 22, Clemmons NC 27012-8775. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is the primary health care specialty. Complete Rehab can be contacted via phone (336) 778-0292, or through Davenport, Jean P via phone (336) 778-0292.

Contact Information

Primary practice address
6000 Meadow Brook Mall Suite 22 Clemmons NC 27012-8775
Phone: (336) 778-0292
Fax: (336) 778-0242
Website:
Map and Directions
Authorized official contact:
Name: Davenport, Jean P
Phone: (336) 778-0292

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Profile Details

NPI number 1699967547
LBN Legal business name Complete Rehab
DBA Doing business as
Authorized official Davenport, Jean P
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2007
Last updated Apr 18th, 2008 - about 16 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 1699967547 NPPES
North Carolina Other 135VA BCBSNC
North Carolina Other 64-01026 BCBSNC
North Carolina Other 691687 BCBSNC
North Carolina Other 10378967 BCBSNC
North Carolina Other 0517000 BCBSNC
North Carolina MEDICAID 7301751 BCBSNC
North Carolina Other 805848 BCBSNC
North Carolina Other BA1238 BCBSNC

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