Restore Healthcare Medical Group

LBN: Restore Healthcare Medical Group
Restore Healthcare Medical Group is an health care organization with primary practice located at 330 Camp Rd Ste B43 , Charlotte NC 28206-4005. The organization recently has 15 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Rehabilitation, Ambulatory Health Care Facilities / Occupational Medicine, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. Restore Healthcare Medical Group can be contacted via phone (888) 661-7730, or through Jarrett, Christina via phone (704) 559-9409.

Contact Information

Primary practice address
330 Camp Rd Ste B43 Charlotte NC 28206-4005
Phone: (888) 661-7730
Fax: (888) 813-2442
Website:
Map and Directions
Authorized official contact:
Name: Jarrett, Christina
Phone: (704) 559-9409

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification 224ZE0001X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1184120750
LBN Legal business name Restore Healthcare Medical Group
DBA Doing business as Restore Healthcare Medical Group
Authorized official Jarrett, Christina
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2018
Last updated Oct 28th, 2021 - about 4 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 1184120750 NPPES
North Carolina MEDICAID =========
North Carolina MEDICAID =========
North Carolina Other =========

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