NPIMap

Organization Active NPI

Fuller Rehabilitation & Consulting Services, Inc.

  • Customized Equipment (DME)
  • Evansville, IN
National Provider Identifier
1194994285
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
FULLER REHABILITATION & CONSULTING SERVICES, INC.
Practice address
6149 Wedeking Ave
BLDG. D, Suite 3
Evansville, IN 47715-8535
Phone
(812) 479-8870
Fax
(812) 473-0020
NPI assigned
Feb 22, 2008
Organization subpart
Yes
Parent organization
FULLER REHABILITATION & CONSULTING SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Mr. Carter D. Fuller
Title
President, Ceo
Phone
(706) 965-0352

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

6149 Wedeking Ave
BLDG. D, Suite 3
Evansville, IN 47715-8535

Mailing address

PO Box 615
Ringgold, GA 30736-0615
Phone (706) 965-6131

Other names 1

  • Fuller Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fuller Rehabilitation and Consulting Services Inc6 organizations share this tax ID, including this one
Part of
Fuller Rehabilitation and Consulting Services Inc

Other organizations with this tax ID 5

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": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1194994285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 615",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307360615",
            "telephone_number": "706-965-6131",
            "fax_number": "706-413-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6149 WEDEKING AVE",
            "address_2": "BLDG. D, SUITE 3",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158535",
            "telephone_number": "812-479-8870",
            "fax_number": "812-473-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER REHABILITATION & CONSULTING SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FULLER REHABILITATION & CONSULTING SERVICES, INC.",
        "enumeration_date": "2008-02-22",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "CARTER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "706-965-0352",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fuller Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.