CC Rehab

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CC REHAB

Doing business as

CC Rehab

Practice address

502 S Leroy St
Fenton, MI 48430-2252

Phone

(810) 444-5555

NPI assigned

Mar 15, 2019

Organization subpart

Yes

Parent organization

SPECIAL TREE, LTD.As reported in NPPES

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

Authorized official

Name

Charlene Combs, OTR/L

Title

Executive Director

Phone

(840) 444-5555

Specialties & licenses 1

Addresses

Other names 1

• CC Rehab Doing business as

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Special Tree

  • Substance Abuse Rehabilitation Facility
  • Romulus, MI
  • NPI 1699113662
  NPPES parent name

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1205395654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 CHASE ST",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302252",
            "telephone_number": "810-444-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC REHAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIAL TREE, LTD.",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "840-444-5555",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CC Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glenn B. Carter, DMD
• Andrea W Casey, PHD
• Ashley Hasan Casey, DPM, MSW
• Crystal Castle
• CBM Health Care Inc
• Christopher Weston Cenzer, DO
• Rania Chadid, PHARMD
• Char Combs Rehabilitation and Consultation Services Inc
• Jodi Charles, PTA
• Rebecca Lin Chema

• Home Health Agency in Fenton, MI
• Providers in Fenton, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.