REGGIE WHITE CARDIO-PULMONARY REHABILITATION CENTER LLC (NPI# 1174855464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174855464 |
| Entity Type | Organization |
| Organization Name | REGGIE WHITE CARDIO-PULMONARY REHABILITATION CENTER LLC |
| Practice Address |
7420 Guthrie Dr N Ste. 108 Southaven MS 38671-5876 |
| Mailing Address |
7600 Airways Blvd Suite G Southaven MS 38671-5138 |
| Practice Telephone | 6623499802 |
| Mailing Telephone | 6623499802 |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-11 |
| Authorized Official Name | MR. DEREK EVIN DENMAN SR. (CEO/PRESIDENT) |
| Authorized Official Telephone | 9012460767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251C2600X |
Physical Therapist Specialization: Cardiopulmonary |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033499298 | Reggie White Cardio-pulmonary Rehabilitation Center LLC | Clinic/Center | 2715 Kirby Rd, Suite 15, Memphis, TN 38119-8238 | 2011-08-19 |
| Street Address |
7420 GUTHRIE DR N STE. 108 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-5876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669413381 | Sleep Study Clinics of West Tennessee LLC | Clinic/Center | 7420 Guthrie Dr N, Ste 101, Southaven, MS 38671-5876 | 2006-06-10 |
| 1841655164 | Sleep Management Clinic, LLC | Nurse Practitioner | 7420 Guthrie Dr N, Ste 101, Southaven, MS 38671-5876 | 2015-12-31 |
| 1689049751 | Synergy Health Solutions LLC | Durable Medical Equipment & Medical Supplies | 7420 Guthrie Dr N, Suite 101 B, Southaven, MS 38671-5876 | 2015-12-01 |
| 1316331234 | Focus Sleep Center of Desoto, LLC | Physiological Laboratory | 7420 Guthrie Dr N, Suite 101, Southaven, MS 38671-5876 | 2015-03-28 |
| 1588089288 | Southaven Sleep Clinic | Specialist | 7420 Guthrie Dr N, Suite 110, Southaven, MS 38671-5876 | 2014-03-04 |
| 1255639530 | Trasun LLC Sh | Clinic/Center | 7420 Guthrie Dr N, Suite 111, Southaven, MS 38671-5876 | 2011-03-10 |
| 1376699546 | Southeast Urology Network PC | Specialist | 7420 Guthrie Dr N, Ste. 111, Southaven, MS 38671-5876 | 2007-01-28 |
| 1487705760 | Rad-one, Pa | Radiology | 7420 Guthrie Dr N, Southaven, MS 38671-5876 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 2251C2600X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Cardiopulmonary |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285792010 | Jackson Rehab and Wellness Center | Physical Therapist | 5380 I-55 N, Suite 101, Jackson, MS 39211 | 2006-12-05 |
Please comment or provide details below to improve the information on REGGIE WHITE CARDIO-PULMONARY REHABILITATION CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.