FULLER REHABILITATION AND CONSULTING SERVICES INC. (NPI# 1366549578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366549578 |
| Entity Type | Organization |
| Organization Name | FULLER REHABILITATION AND CONSULTING SERVICES INC. |
| Other Organization Name | FULLER REHABILITATION |
| Practice Address |
806 Ulrich Avenue Louisville KY 40219-1846 |
| Mailing Address |
Po Box 615 Ringgold GA 30736-0615 |
| Practice Telephone | 5029660823 |
| Practice Fax Number | 5029660824 |
| Mailing Telephone | 7069656131 |
| Mailing Fax Number | 7064131352 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-05-11 |
| Authorized Official Name | MR. CARTER D. FULLER (PRESIDENT, CEO) |
| Authorized Official Telephone | 7069650352 |
| Is Organization Subpart | Y |
| Parent Organization Name | FULLER REHABILITATION AND CONSULTING SERVICES INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | KY | Suppliers | |
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 90001918 | 05 |
| Other Name | Type Code |
|---|---|
| Fuller Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316046758 | Fuller Rehabilitation and Consulting Services Inc. | Durable Medical Equipment & Medical Supplies | 1135 Bell Rd, Suite 316, Antioch, TN 37013-3777 | 2006-09-22 |
| 1114026556 | Fuller Rehabilitation and Consulting Services Inc. | Durable Medical Equipment & Medical Supplies | 1923 Madison St # C, Clarksville, TN 37043-5066 | 2006-09-22 |
| 1073610283 | Fuller Rehabilitation and Consulting Services Inc. | Durable Medical Equipment & Medical Supplies | 2591 Palumbo Dr, Suite 5, Lexington, KY 40509-1258 | 2006-09-20 |
| 1154428365 | Fuller Rehabilitation and Consulting Services Inc. | Durable Medical Equipment & Medical Supplies | 11706 Mercy Blvd, Building 3, Savannah, GA 31419-1751 | 2006-09-20 |
| 1104923325 | Fuller Rehabilitation and Consulting Services Inc. | Durable Medical Equipment & Medical Supplies | 412 Crosstown Rd, Peachtree City, GA 30269-2915 | 2006-09-20 |
| 1851498067 | Fuller Rehabilitation and Consulting Services Inc. | Durable Medical Equipment & Medical Supplies | 201 Center Park Dr, Suite 1000, Knoxville, TN 37922-2105 | 2006-09-20 |
| 1851498125 | Fuller Rehabilitation and Consulting Services Inc. | Durable Medical Equipment & Medical Supplies | 420 Dividend Drive, Suite B, Peachtree City, GA 30269-1972 | 2006-09-20 |
| 1083711204 | Fuller Rehabilitation and Consulting Services Inc. | Durable Medical Equipment & Medical Supplies | 90 Alexandria Pike, Suite 10, Fort Thomas, KY 41075-4102 | 2006-09-20 |
| 1790882926 | Fuller Rehabilitation and Consulting Services Inc. | Durable Medical Equipment & Medical Supplies | 6064 Wilmington Pike, Sugarcreek Plaza Shopping Center, Dayton, OH 45459-7006 | 2006-09-20 |
| 1063445526 | Fuller Rehabilitation and Consulting Services Inc. | Durable Medical Equipment & Medical Supplies | 529 Rollins Industrial Blvd, Ringgold, GA 30736-2872 | 2006-07-08 |
| Street Address |
806 ULRICH AVENUE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40219-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1174165989 | Joann Deborah Hobbs | Nurse Practitioner | 8216 Delido Rd, Louisville, KY 40219 | 2019-10-14 |
| 1962989319 | Jennifer Lynn Pinkerton | Hearing Instrument Specialist | 7326 Preston Hwy, Suite 206a, Louisville, KY 40219 | 2018-07-27 |
| 1942748447 | Melissa Freeman Emanuele | Speech-Language Pathologist | 1550 Raydale Drive, Lousville, KY 40219 | 2017-02-03 |
| 1083014013 | Christopher Maxey | Specialist/Technologist | Fern Valley Rd, Louisville, KY 40219 | 2014-08-27 |
| 1679985949 | Antwan Turner | Case Manager/Care Coordinator | 5523 Saxon Blvd, Louisville, KY 40219 | 2014-05-21 |
| 1386055168 | Kelly Larson | Case Manager/Care Coordinator | 6809 Bebe Ct., Louisville, KY 40219 | 2014-05-14 |
| 1639414626 | Prettysmilesdenturesandmorellc | Dentist | 19123 West Mcnichols Rd, Detroit, MI 40219 | 2012-12-03 |
| 1881967701 | Vickie Lynn Dixon | Homemaker | 3516 Templewood Dr., Louisville, KY 40219 | 2012-02-23 |
| 1811157555 | Tonya Lynn Frost | Chiropractor | 4300 Outer Loop Ste 10, Louisville, KY 40219 | 2008-06-16 |
| Find all providers in zip 40219 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
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| 1578896502 | Source 1 | Durable Medical Equipment & Medical Supplies | 80 Health Park Dr Ste 250, Louisville, CO 80027-4645 | 2009-09-09 |
| 1023246675 | Kentucky Orthotic Providers, LLC | Durable Medical Equipment & Medical Supplies | 800 Stone Creek Pkwy, Suite 1, Louisville, KY 40223-5366 | 2009-06-22 |
| 1730327883 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 11003 Bluegrass Pkwy Ste 460, Louisville, KY 40299-2392 | 2009-01-28 |
| 1508059015 | Fowler & Mayfield Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 3501 Bridgegate Ct, Louisville, KY 40272-2659 | 2007-08-20 |
| 1497897516 | Rehab Designs, Inc. | Durable Medical Equipment & Medical Supplies | 11700 Commonwealth Dr, Louisville, KY 40299-6303 | 2007-02-13 |
| 1417005133 | Fisher & Hinnant Prosthetics and Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 10285 Champion Farms Drive, Louisville, KY 40241 | 2007-01-08 |
| 1245263276 | Harrison Medical Inc. | Durable Medical Equipment & Medical Supplies | 721 South Preston St., Louisville, KY 40203 | 2006-07-10 |
| 1457396533 | Praxair Healthcare Services, Inc | Durable Medical Equipment & Medical Supplies | 10500 Bluegrass Pkwy, Louisville, KY 40299-2200 | 2006-06-20 |
| 1740223007 | Praxair Healthcare Services, Inc. | Durable Medical Equipment & Medical Supplies | 2011 Cherry St, Unit 114, Louisville, CO 80027-3090 | 2006-06-14 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40219 |
Please comment or provide details below to improve the information on FULLER REHABILITATION AND CONSULTING SERVICES INC..
| 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.