Organization Active NPI

Rehab Procare, Inc.

  • Durable Medical Equipment & Medical Supplies
  • West Columbia, SC
National Provider Identifier
1831428424
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
REHAB PROCARE, INC.
Practice address
840 Shull St Ste 240
West Columbia, SC 29169-6765
Phone
(803) 936-0780
Fax
(803) 936-0809
NPI assigned
Dec 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Mr. Gregory Kipp Braswell
Title
Logistics Manager
Phone
(803) 457-4772

Specialties & licenses 1

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

Addresses

Primary practice location

840 Shull St Ste 240
West Columbia, SC 29169-6765

Mailing address

840 Shull St
Suite 240
West Columbia, SC 29169-6765
Phone (803) 936-0780

National Provider Directory

National Provider Directory

Locations

840 Shull St
Ste 240
West Columbia, SC 29169
Phone (803) 936-0780

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1831428424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SHULL ST",
            "address_2": "SUITE 240",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696765",
            "telephone_number": "803-936-0780",
            "fax_number": "803-936-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SHULL ST STE 240",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696765",
            "telephone_number": "803-936-0780",
            "fax_number": "803-936-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB PROCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "BRASWELL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "KIPP",
        "authorized_official_title_or_position": "LOGISTICS MANAGER",
        "authorized_official_telephone_number": "803-457-4772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.