NPIMap

Organization Active NPI

Complete Care Rehab LLC

  • Rehabilitation Hospital Unit
  • Saint Clair Shores, MI
National Provider Identifier
1801844220
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
5501007610 Issued in MI
Legal business name
COMPLETE CARE REHAB LLC
Practice address
31370 Harper Ave
Saint Clair Shores, MI 48082-2450
Phone
(586) 285-0545
Fax
(586) 279-1700
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Mr. Bob Padman, BS
Title
Manager
Phone
(586) 285-0545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 5501007610 MI Primary

Addresses

Primary practice location

31370 Harper Ave
Saint Clair Shores, MI 48082-2450

Mailing address

31370 Harper Ave
Saint Clair Shores, MI 48082-2450
Phone (586) 285-0545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120418000598 MI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 2466423637 Practice locations: Eastpointe, MI

National Provider Directory

National Provider Directory

Locations

18200 E 10 Mile Rd
Ste 200
Eastpointe, MI 48021
Phone (586) 756-7570

31374 Harper Ave
Saint Clair Shores, MI 48082
Phone (586) 285-0545

31370 Harper Ave
St Clr Shores, MI 48082
Phone (586) 285-0545

26440 Hoover Rd
Ste A
Warren, MI 48089
Phone (586) 756-7500

Practitioners & affiliated clinicians

Practitioners 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1801844220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31370 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822450",
            "telephone_number": "586-285-0545",
            "fax_number": "586-439-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31370 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822450",
            "telephone_number": "586-285-0545",
            "fax_number": "586-279-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "PADMAN",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-285-0545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MI",
            "license": "5501007610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.