Halcyon Rehabilitation, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

HALCYON REHABILITATION, LLC

Practice address

101 Cobblestone Trce SE
Moultrie, GA 31788-7747

Phone

(706) 416-9704

NPI assigned

Jun 12, 2019

Organization subpart

No

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

Authorized official

Name

Chris McDonald

Title

Treasurer

Phone

(914) 390-4300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1003475112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRIDGE ST STE 210",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105331594",
            "telephone_number": "914-390-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COBBLESTONE TRCE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317887747",
            "telephone_number": "706-416-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "914-390-4300"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.