Raleigh Regional Rehab Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0428 Issued in FL

Legal business name

RALEIGH REGIONAL REHAB CENTER LLC

Practice address

3830 Blue Ridge Rd
Raleigh, NC 27612-4319

Phone

(919) 781-4900

NPI assigned

Sep 4, 2012

Last updated

Sep 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trina J Fisk

Title

Cfo

Phone

(727) 797-5200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1083963227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 10TH AVE N",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953416",
            "telephone_number": "727-797-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 BLUE RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124319",
            "telephone_number": "919-781-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH REGIONAL REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "FISK",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-797-5200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "NH0428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Raleigh, NC
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• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.