Neuro Rehabcare-Tass

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

NEURO REHABCARE-TASS

Practice address

512 Harmony Road
Crystal Springs, MS 39059

Phone

(601) 892-4384

Fax

(601) 892-4386

NPI assigned

Mar 15, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeff Stanford, M.A.

Title

Director

Phone

(601) 892-4384

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NRC-TASS Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1003375411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 HARMONY ROAD",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "39059",
            "telephone_number": "601-892-4384",
            "fax_number": "601-892-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 HARMONY ROAD",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "39059",
            "telephone_number": "601-892-4384",
            "fax_number": "601-892-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO REHABCARE-TASS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "STANFORD",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-892-4384",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NRC-TASS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Rehabilitation Hospital Unit in Crystal Springs, MS
• Providers in Crystal Springs, MS by specialty
• Rehabilitation Hospital Unit in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.