NPIMap

Organization Active NPI

Complex Rehab Solution

  • In Home Supportive Care Agency
  • Hickory, NC
National Provider Identifier
1801230875
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
2547 Issued in NC
Legal business name
COMPLEX REHAB SOLUTION
Practice address
431 9TH St NW
Hickory, NC 28601-3523
Phone
(828) 238-2130
NPI assigned
Apr 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Stacey L Mullis, OTR, ATPNPI 1063750370
Title
Member Manager
Phone
(828) 238-2130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 2547 NC Primary

Addresses

Primary practice location

431 9TH St NW
Hickory, NC 28601-3523

Mailing address

431 9TH St NW
Hickory, NC 28601-3523
Phone (828) 238-2130

National Provider Directory

National Provider Directory
Tax ID family
Complex Rehab Solution2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1801230875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 9TH ST NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013523",
            "telephone_number": "828-238-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 9TH ST NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013523",
            "telephone_number": "828-238-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEX REHAB SOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "MULLIS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "828-238-2130",
        "authorized_official_credential": "OTR, ATP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "2547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.