Organization Active NPI

Comprehab Inc

  • Rehabilitation Clinic/Center
  • Lincolnton, NC
National Provider Identifier
1053760942
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
7796 Issued in NC
Legal business name
COMPREHAB INC
Practice address
18 North Generals Blvd.
Lincolnton, NC 28092
Phone
(704) 748-0616
NPI assigned
Jun 10, 2016
Last updated
Aug 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Mrs. Beverly Brunson Horton, EDS, MHA
Title
Billing Manager
Phone
(980) 745-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 7796 NC Primary

Addresses

Primary practice location

18 North Generals Blvd.
Lincolnton, NC 28092

Mailing address

2675 Court Dr
Gastonia, NC 28054-1478

Other identifiers 1

IdentifierTypeStateIssuer
1407932775MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Comprehab LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1053760942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 NORTH GENERALS BLVD.",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "28092",
            "telephone_number": "704-748-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "BRUNSON",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "980-745-0700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EDS, MHA"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NC",
            "license": "7796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407932775",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.