Restore Healthcare

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

RESTORE HEALTHCARE

Practice address

2764 Pleasant Rd
Ste 10909
Fort Mill, SC 29708-7299

Phone

(704) 559-9408

Fax

(704) 731-0975

NPI assigned

Jul 15, 2015

Organization subpart

No

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

Authorized official

Name

Chris Jarrett

Title

Executive Director

Phone

(704) 559-9409

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Restore Healthcare4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Restore

  • Speech-Language Pathologist
  • Harrisburg, NC
  • NPI 1447647920
  NPD tax ID
• Restore Healthcare

  • Home Health Registered Nurse
  • Harrisburg, NC
  • NPI 1457795510
  NPD tax ID
• Restore Healthcare

  • Case Management Registered Nurse
  • Harrisburg, NC
  • NPI 1639513708
  NPD tax ID

Locations

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1437533908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 PLEASANT RD",
            "address_2": "STE 10909",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087299",
            "telephone_number": "704-559-9408",
            "fax_number": "704-731-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2764 PLEASANT RD",
            "address_2": "STE 10909",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087299",
            "telephone_number": "704-559-9408",
            "fax_number": "704-731-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "JARRETT",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-559-9409"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457795510",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bryan Renken, M.D.
• Imani Rentz
• Revival Counseling of the Carolinas
• Revive Chiropractic PC
• Revive Neurorecovery Center CLT LLC
• Ashley Reyes, RBT
• Natalie Reynolds, RBT

• Speech-Language Pathologist in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.