East Carolina Rehab and Wellness, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0505 Issued in NC

Legal business name

EAST CAROLINA REHAB AND WELLNESS, LLC

Practice address

2575 W 5TH St
Greenville, NC 27834-7813

Phone

(252) 830-9100

Fax

(252) 757-3219

NPI assigned

Oct 16, 2015

Organization subpart

No

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

Authorized official

Name

Hugh B Campbell III

Title

Member

Phone

(910) 332-4508

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose E Gonzalez, M.D.

  • Family Medicine Physician
  • Asheville, NC
  • NPI 1457347627
  NPD (past)
• Pamela Dolores Harris, D.O.

  • Family Medicine Physician
  • Asheville, NC
  • NPI 1861464901
  NPD (past)

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1154792000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N FRONT ST",
            "address_2": "STE 805",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014055",
            "telephone_number": "910-332-4508",
            "fax_number": "910-332-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 W 5TH ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347813",
            "telephone_number": "252-830-9100",
            "fax_number": "252-757-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA REHAB AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "910-332-4508",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "NH0505",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Carolina Neurology
• East Carolina Neurology, Inc.
• East Carolina Neurology, Inc.
• East Carolina Operator LLC
• East Carolina Outreach,Inc
• East Carolina Retina Consultants, PLLC
• East Carolina Transportation LLC
• East Carolina University
• East Carolina University
• East Carolina University

• Skilled Nursing Facility in Greenville, NC
• Providers in Greenville, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.