Restore Healthcare Medical Group

LBN: Restore Healthcare
Restore Healthcare Medical Group is an health care organization with primary practice located at 4350 Main St Suite 211, Harrisburg NC 28075-7433. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Dietary & Nutritional Service Providers / Nutrition, Renal, Nursing Service Providers / Case Management, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Nursing Service Providers / Case Management is the primary health care specialty. Restore Healthcare can be contacted via phone (704) 559-9408, or through Jarrett, Chris via phone (704) 559-9408.

Contact Information

Primary practice address
4350 Main St Suite 211 Harrisburg NC 28075-7433
Phone: (704) 559-9408
Fax: (704) 731-0975
Website:
Map and Directions
Authorized official contact:
Name: Jarrett, Chris
Phone: (704) 559-9408

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X North Carolina
Nursing Service Providers / Case Management 163WC0400X North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1639513708
LBN Legal business name Restore Healthcare
DBA Doing business as Restore Healthcare Medical Group
Authorized official Jarrett, Chris
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2013
Last updated Jun 29th, 2015 - about 10 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 1639513708 NPPES
North Carolina Other REHABILITATIVE BLUE CROSS BLUE SHIELD

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