Organization Active NPI

Complex Rehab Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Medley, FL
National Provider Identifier
1740755800
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COMPLEX REHAB SOLUTIONS LLC
Practice address
10601 NW 122ND St Ste 18
Medley, FL 33178-3186
Phone
(305) 967-8098
Fax
(305) 437-8027
NPI assigned
Oct 4, 2018
Last updated
May 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Noel Burns
Title
Manager
Phone
(305) 321-6680

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

10601 NW 122ND St Ste 18
Medley, FL 33178-3186

Mailing address

10601 NW 122ND St Ste 18
Medley, FL 33178-3186
Phone (305) 967-8098

Other practice location 1

10657 NW 122nd Street
Suite #18
Medley, FL 33178-3186
Phone (786) 586-4353

National Provider Directory

National Provider Directory

Locations

10601 NW 122nd St
Ste 18
Medley, FL 33178
Phone (305) 967-8098

10657 NW 122nd St
Ste 18
Medley, FL 33178
Phone (786) 586-4353

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1740755800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 NW 122ND ST STE 18",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331783186",
            "telephone_number": "305-967-8098",
            "fax_number": "305-437-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 NW 122ND ST STE 18",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331783186",
            "telephone_number": "305-967-8098",
            "fax_number": "305-437-8027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10657 NW 122nd Street",
            "address_2": "Suite #18",
            "address_purpose": "LOCATION",
            "city": "Medley",
            "state": "FL",
            "postal_code": "331783186",
            "country_code": "US",
            "telephone_number": "786-586-4353",
            "fax_number": "305-437-8027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLEX REHAB SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-321-6680"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medley, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.