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NPI Code Detail

MEDICARE: REHABCARE

MEDICARE: REHABCARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility3900NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13900OTHERNCSTATE LICENSE
201116733OTHERASHA

General Provider Information

NPI Number : 1538374343
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHABCARE
Provider Business Mailing Address
First Line : 2209 CARTHAGE CIR
Second Line :
City : RALEIGH
State : NC
Zip : 27604-3868
Country : US
Telephone Number : 919-255-9354
Fax Number : 919-845-3496
Provider Business Practice Location Address
First Line : 1500 SAWMILL RD
Second Line :
City : RALEIGH
State : NC
Zip : 27615-4320
Country : US
Telephone Number : 919-848-7254
Fax Number : 919-845-3496
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST
Name : MR. WILLIAM CULLEN GRANT II
Credential : M.ED.
Telephone Number : 919-848-7254
Provider Enumeration Date : 05/14/2007
Last Update Date : 08/22/2020

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Directions to “REHABCARE ” Practice Location

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