North Carolina Life of Rehabilitation, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NORTH CAROLINA LIFE OF REHABILITATION, INC.

Practice address

6028 The PLZ
Charlotte, NC 28215-2450

Phone

(704) 728-3034

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Eduardo Exposito

Title

President

Phone

(704) 728-3034

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jefferson and Jefferson LLC2 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.

• Jefferson and Jefferson LLC.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Gastonia, NC
  • NPI 1861995367
  NPD tax ID

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1053445908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 COTTONWOOD PARK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282148700",
            "telephone_number": "704-728-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 THE PLZ",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152450",
            "telephone_number": "704-728-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA LIFE OF REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "EXPOSITO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-728-3034"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "(CAP) PROVIDER NUMBER",
            "identifier": "3409150",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• North Carolina Health Operations LLC
• North Carolina Integrated Services LLC
• North Carolina Medical Specialists PC
• North Carolina Mental Health Providers and Professionals
• North Carolina Neurodiagnostics, LLC
• North Carolina Neuropsychiatry
• North Carolina Phlebology PC

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.