COMPLEX REHAB SOLUTION (NPI# 1801230875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801230875 |
| Entity Type | Organization |
| Organization Name | COMPLEX REHAB SOLUTION |
| Practice Address |
431 9th St Nw Hickory NC 28601-3523 |
| Practice Telephone | 8282382130 |
| Mailing Telephone | 8282382130 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |
| Authorized Official Name | STACEY L MULLIS (MEMBER MANAGER) |
| Authorized Official Telephone | 8282382130 |
| Authorized Official Credential | OTR, ATP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 2547 | NC | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMPLEX REHAB SOLUTIONS LLC | 6328 Nw 175th Ter, Hialeah, FL 33015-4437 |
| Street Address |
431 9TH ST NW |
| City | HICKORY |
| State | NC |
| Zip Code | 28601-3523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063750370 | Stacey Mullis | Occupational Therapist | 431 9th St Nw, Hickory, NC 28601-3523 | 2013-01-21 |
| 1508104688 | Complex Rehab Solutions, LLC | Home Health | 431 9th St Nw, Hickory, NC 28601-3523 | 2013-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
| Find all providers in zip 28601 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578004412 | Steve Morgan | In Home Supportive Care | 5549 Grace Chapel Rd, Hickory, NC 28601-8906 | 2017-03-11 |
| 1801198502 | Youth Villages | In Home Supportive Care | 101 Government Ave Sw Ste 300, Hickory, NC 28602-2936 | 2010-12-01 |
| 1609308790 | Gala In-home Care Services, LLC | In Home Supportive Care | 5549 Grace Chapel Rd, Hickory, NC 28601-8906 | 2017-03-29 |
| 1316973787 | Bayada Home Health Care, Inc. | In Home Supportive Care | 1985 Tate Blvd Se, Suite 417, Hickory, NC 28602-1469 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487196 | Dublin Home Care, LLC | In Home Supportive Care | 112 King William Rd, Raleigh, NC 27610-1802 | 2020-11-03 |
| 1043811573 | Innovative Home Assistance LLC | In Home Supportive Care | 8501 Tower Point Dr Ste B40, Charlotte, NC 28227-7849 | 2020-11-02 |
| 1275132821 | Infinite Favor Home Care Services LLC | In Home Supportive Care | 4373 Auburn Hills Dr, Raleigh, NC 27616-9309 | 2020-10-23 |
| 1043819972 | Natasha Lavinya Morgan | In Home Supportive Care | 915 First Tee Dr, High Point, NC 27263-2388 | 2020-10-21 |
| 1629677851 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1415 W Nc Highway 54 Ste 209, Durham, NC 27707-5597 | 2020-10-19 |
| 1417555848 | Fumani Investment LLC | In Home Supportive Care | 4822 Albemarle Rd Ste 280-b, Charlotte, NC 28205-6668 | 2020-10-16 |
| 1447858493 | Concept of Care Inc | In Home Supportive Care | 5115 Osage Cir, Charlotte, NC 28269-4693 | 2020-10-13 |
| 1780282723 | Kate Lyons | In Home Supportive Care | 5440 Atlantic Springs Rd Ste 109, Raleigh, NC 27616-1855 | 2020-10-12 |
| 1588261549 | Alliance Group 1 Home Care LLC | In Home Supportive Care | 244 Audubon Dr, Raeford, NC 28376-7269 | 2020-10-02 |
| 1598362741 | Quality Care Health Services Inc. | In Home Supportive Care | 301 S Church St Ste 168, Rocky Mount, NC 27804-5748 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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| 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.