Organization Active NPI

Re-Bound-It Inc.

  • Community/Behavioral Health Agency
  • Rock Hill, SC
National Provider Identifier
1194540336
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RE-BOUND-IT INC.
Practice address
417 E Black St Ste 106
Rock Hill, SC 29730-5341
Phone
(803) 327-8888
NPI assigned
Nov 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Donetta Graham
Title
Executive Directive
Phone
(803) 327-8888

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

417 E Black St Ste 106
Rock Hill, SC 29730-5341

Mailing address

417 E Black St Ste 106
Rock Hill, SC 29730-5341
Phone (803) 327-8888

National Provider Directory

National Provider Directory

Locations

417 E Black St
Ste 106
Rock Hill, SC 29730
Phone (803) 327-8888

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1194540336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E BLACK ST STE 106",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305341",
            "telephone_number": "803-327-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E BLACK ST STE 106",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305341",
            "telephone_number": "803-327-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE-BOUND-IT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "DONETTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTIVE",
        "authorized_official_telephone_number": "803-327-8888"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.