NPIMap

Organization Active NPI

Human Performance and Rehabilitation Centers, LLC

Doing business as dba Medical and Health Resources

  • Durable Medical Equipment & Medical Supplies
  • Columbus, GA
National Provider Identifier
1376135707
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HUMAN PERFORMANCE AND REHABILITATION CENTERS, LLC
Doing business as
dba Medical and Health Resources
Practice address
6298 Veterans Pkwy Ste 5a
Columbus, GA 31909-6245
Phone
(706) 324-3667
Fax
(706) 324-4609
NPI assigned
Feb 8, 2021
Last updated
Mar 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Brian McCluskey
Title
Ceo
Phone
(706) 324-3667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

6298 Veterans Pkwy Ste 5a
Columbus, GA 31909-6245

Mailing address

PO Box 8068
Columbus, GA 31908-8068
Phone (706) 322-7762

Other names 1

  • dba Medical and Health Resources Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210310002659 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870908130 Receives reassigned benefits from 54 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Athens, GA; Columbus, GA; Conyers, GA; Hampton, GA; Stockbridge, GA
O20210610002799 GA DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 3870908130 Practice locations: Columbus, GA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Human Performance and Rehabilitation Centers6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6298 Veterans Pkwy
Ste 5A
Columbus, GA 31909
Phone (706) 320-0927

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1376135707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8068",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319088068",
            "telephone_number": "706-322-7762",
            "fax_number": "706-327-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6298 VETERANS PKWY STE 5A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096245",
            "telephone_number": "706-324-3667",
            "fax_number": "706-324-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN PERFORMANCE AND REHABILITATION CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "MCCLUSKEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-324-3667"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Medical and Health Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.