RESTORE HEALTHCARE MEDICAL GROUP (NPI# 1184120750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184120750 |
| Entity Type | Organization |
| Organization Name | RESTORE HEALTHCARE MEDICAL GROUP |
| Other Organization Name | RESTORE HEALTHCARE PEDIATRIC THERAPY |
| Practice Address |
500 Waxhaw Professional Park Drive Ste 105 F Waxhaw NC 28173 |
| Mailing Address |
2764 Pleasant Rd Ste 10909 Fort Mill SC 29708-7213 |
| Practice Telephone | 8886617730 |
| Practice Fax Number | 8778310055 |
| Mailing Telephone | 8886617730 |
| Mailing Fax Number | 8778310055 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | CHRISTINA JARRETT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7045599409 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Other Name | Type Code |
|---|---|
| Restore Healthcare Pediatric Therapy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 331 E Main St Ste 200, Rock Hill, SC 297305384 | 8886617730 | 8778310055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028837 | Restore Healthcare Medical Group | Durable Medical Equipment & Medical Supplies | 13850 Ballantyne Corporate Pl Ste 500, Charlotte, NC 28277-2830 | 2018-10-01 |
| Street Address |
500 WAXHAW PROFESSIONAL PARK DRIVE STE 105 F |
| City | WAXHAW |
| State | NC |
| Zip Code | 28173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733175 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1615 Providence Road South, Marvin, NC 28173 | 2020-06-04 |
| 1225507320 | Shane Markey Dds Ms Pllc | Dentist | 8412 New Town Rd Ste A, Waxhaw, NC 28173 | 2018-11-19 |
| 1336631514 | Suganya Nelatoor,d.d.s.,p.l.l.c. | Clinic/Center | 102 E Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2018-06-04 |
| 1730690827 | Concrete Roses Consulting | Community/Behavioral Health | 5960 Fairview Road, 323, Charlotte, NC 28173 | 2017-10-17 |
| 1861849523 | Kayla Selena Caldwell | Social Worker | 3908 Rev. H. Morrison Rd., Waxhaw, NC 28173 | 2016-05-23 |
| 1588023782 | Teri Hipp | Counselor | 101-e Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2016-02-16 |
| 1710355508 | Caresmatic Phase 1,inc. | Assisted Living Facility | 520 Pembroke Ln., Waxhaw, NC 28173 | 2015-09-10 |
| 1437564838 | Anna Waddell Schneiderman | Counselor | 104 Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2014-06-24 |
| 1467892109 | Samantha Weidele Waldman | Counselor | 9929 Rea Rd Ste 201, Waxhaw, NC 28173 | 2013-06-26 |
| 1083053433 | Karen Degraaf | Counselor | 6709 Wycliffe Ave, Waxhaw, NC 28173 | 2013-06-19 |
| Find all providers in zip 28173 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013433143 | Adaptive Learning Institute | Early Intervention Provider Agency | 1525 Crane Rd, Waxhaw, NC 28173-8557 | 2017-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528650 | Grace Progressions | Early Intervention Provider Agency | 916 Happy Home Rd, Tyner, NC 27980-9659 | 2020-11-02 |
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1497367700 | Compassionate Healing of Wnc | Early Intervention Provider Agency | 57 Eastgate Dr, Sylva, NC 28779-5171 | 2020-08-18 |
| 1972129161 | Project Help Center | Early Intervention Provider Agency | 172 Ashmont Dr, Kannapolis, NC 28081-7134 | 2020-06-23 |
| 1760022354 | Learn With Us, LLC | Early Intervention Provider Agency | 3030 Desmond Woods Dr, Greensboro, NC 27405-9748 | 2020-01-10 |
| 1457992802 | Leslie Williams | Early Intervention Provider Agency | 90 Pine Wood Dr, Siler City, NC 27344-7804 | 2019-10-07 |
| 1700427929 | Solace Place Developmental Services | Early Intervention Provider Agency | 1234 Kelton Cottage Way, Morrisville, NC 27560-7071 | 2019-09-30 |
| 1164077228 | Parks Engstrom | Early Intervention Provider Agency | 120 Bickerstaff Rd, Clemmons, NC 27012-9053 | 2019-08-06 |
| 1720642358 | Meghan Stoda Mullen | Early Intervention Provider Agency | 202 Whimbrell Way, Hampstead, NC 28443-3749 | 2019-04-29 |
| 1265907240 | Journeys Speech-language Therapy Services, Inc. | Early Intervention Provider Agency | 1104 Scarlet Oak Dr, Greenville, NC 27858-8444 | 2018-10-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RESTORE HEALTHCARE MEDICAL GROUP.
| 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.