Custom Rehabilitation Specialites, Inc

LBN: Custom Rehabilitation Specialites, Inc
Custom Rehabilitation Specialites, Inc is an health care organization with primary practice located at 4308 Maidstone Dr , Wilmington NC 28405-7455. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Custom Rehabilitation Specialites, Inc can be contacted via phone (910) 228-9808, or through Thompson, Carl Sidney via phone (910) 471-2962.

Contact Information

Primary practice address
4308 Maidstone Dr Wilmington NC 28405-7455
Phone: (910) 228-9808
Fax: (910) 791-7304
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Carl Sidney
Phone: (910) 471-2962

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 2055 Delaware

Profile Details

NPI number 1467557108
LBN Legal business name Custom Rehabilitation Specialites, Inc
DBA Doing business as
Authorized official Thompson, Carl Sidney
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Dec 6th, 2011 - about 14 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 1467557108 NPPES
North Carolina MEDICAID 7701331
North Carolina Other 045NX

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