NPIMap

Organization Active NPI

Restore Healthcare

  • Home Health Registered Nurse
  • Harrisburg, NC
National Provider Identifier
1457795510
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
RESTORE HEALTHCARE
Practice address
4350 Main St
Suite 211
Harrisburg, NC 28075-7433
Phone
(704) 559-9408
Fax
(704) 731-0975
NPI assigned
Apr 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Chris Cobbs Jarrett
Title
Executive Director
Phone
(704) 559-9408

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X NC
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X NC
General Practice Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WG0000X NC
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X NC Primary

Addresses

Primary practice location

4350 Main St
Suite 211
Harrisburg, NC 28075-7433

Mailing address

4258 Highway 49 S
Ste 554
Harrisburg, NC 28075-0345
Phone (704) 559-9408

National Provider Directory

National Provider Directory
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.

Locations

4350 Main St
Ste 211
Harrisburg, NC 28075
Phone (704) 559-9408

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1457795510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4258 HIGHWAY 49 S",
            "address_2": "STE 554",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280750345",
            "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": "4350 MAIN ST",
            "address_2": "SUITE 211",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757433",
            "telephone_number": "704-559-9408",
            "fax_number": "704-731-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "JARRETT",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "COBBS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-559-9408"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.