Signature Rehabilitation Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SIGNATURE REHABILITATION SERVICES

Practice address

204 Grove St
Clinton, NC 28328-2432

Phone

(910) 305-9954

NPI assigned

Jan 4, 2022

Organization subpart

No

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

Authorized official

Name

Shavar Smith

Title

Ceo

Phone

(910) 305-9954

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1013678705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 GROVE ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282432",
            "telephone_number": "910-305-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GROVE ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282432",
            "telephone_number": "910-305-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHAVAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-305-9954"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muneeb Shah, DO
• James Shaughnessy
• Angella Mae Sherrill, D.M.D.
• Henry Shyllon, LCSW
• Iris Monserrat Sierra Hernandez
• Michelle Sessoms Simmons, NURSE PRACTITIONER
• Simpleclinic PLLC
• Robert Clayton Sink, DDS
• Skill Creations Inc
• Smartseeds Inc.

• All providers in Clinton, NC
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.