Lymphedema and Rehab Center, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0558 Issued in SC

Legal business name

LYMPHEDEMA AND REHAB CENTER, LLC

Practice address

1701 N Main St
Anderson, SC 29621-4761

Phone

(864) 934-0423

Fax

(864) 226-3015

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jeanne Nourse, OTRNPI 1831397595

Title

Owner and Director

Phone

(864) 934-0423

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jeanne Nourse, OTR

  • Occupational Therapist
  • Anderson, SC
  • NPI 1831397595
  NPD (past) Authorized official

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235337767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296220042",
            "telephone_number": "864-934-0423",
            "fax_number": "864-226-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N MAIN ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214761",
            "telephone_number": "864-934-0423",
            "fax_number": "864-226-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA AND REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOURSE",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER AND DIRECTOR",
        "authorized_official_telephone_number": "864-934-0423",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "0558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1023175601",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Lusk, LPN
• Krista M Lutz
• Deanna R Luvene
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Wendy Sumie Lynch, PA
• Ma Upstate Professionals LLC
• Martina Ma
• Aaron C Macdonald, M.D.
• Mary Elizabeth Macgregor, CPNP-PC

• Durable Medical Equipment & Medical Supplies in Anderson, SC
• Providers in Anderson, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.