Southern Crescent Rehabilitation and Retirement Community, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SOUTHERN CRESCENT REHABILITATION AND RETIREMENT COMMUNITY, INC

Practice address

2125 Highway 42 N
McDonough, GA 30253-4733

Phone

(678) 565-7710

Fax

(678) 565-9723

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Abid Malik

Title

Secretary

Phone

(678) 565-7710

Specialties & licenses 1

Addresses

Other names 1

• Southern Crescent TBI Doing business as

Tax ID family

Southern Crescent Rehabilitation and Retirement Community Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Crescent Rehabilitation and Retirement Community, Inc

  • Long Term Care Hospital
  • McDonough, GA
  • NPI 1851530554
  NPD tax ID

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1043334782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 HWY 42N",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534733",
            "telephone_number": "678-565-7710",
            "fax_number": "678-565-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 HIGHWAY 42 N",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534733",
            "telephone_number": "678-565-7710",
            "fax_number": "678-565-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CRESCENT REHABILITATION AND RETIREMENT COMMUNITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "ABID",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "678-565-7710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Crescent TBI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlos Bienvenido Soriano, MD
• Soulful Care Medical Solutions
• Source of Strength Professional Counseling, PC
• South Henry Dialysis LLC
• Southern Community Living
• Southern Crescent Rehabilitation and Retirement Community, Inc
• Southern Grace Healthcare
• Southern Grace Hospice and Palliative Care
• Farah Southwell, MS, LPC, CPCS
• Robert Sowell, M.S.

• Home Health Agency in McDonough, GA
• Providers in McDonough, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.