RESTORE HEALTHCARE MEDICAL GROUP (NPI# 1376028837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376028837 |
| Entity Type | Organization |
| Organization Name | RESTORE HEALTHCARE MEDICAL GROUP |
| Practice Address |
13850 Ballantyne Corporate Pl Ste 500 Charlotte NC 28277-2830 |
| Mailing Address |
4258 Highway 49 South Ste 584 Harrisburg NC 28075 |
| Practice Telephone | 7045599408 |
| Mailing Telephone | 7045599408 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |
| Authorized Official Name | CHRISTINA JARRETT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7045599408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Other Name | Type Code |
|---|---|
| Restore Healthcare Medical Supplies | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184120750 | Restore Healthcare Medical Group | Counselor | 500 Waxhaw Professional Park Drive, Ste 105 F, Waxhaw, NC 28173 | 2018-04-03 |
| Street Address |
13850 BALLANTYNE CORPORATE PL STE 500 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205091469 | Ruth M. Kohl | Social Worker | 13850 Ballantyne Corporate Pl Ste 500, Charlotte, NC 28277-2830 | 2008-07-26 |
| 1760013304 | Kaela Marie O'donnell | Social Worker | 13850 Ballantyne Corporate Pl Ste 500, Charlotte, NC 28277-2830 | 2020-02-02 |
| 1255896809 | Clarity Counseling Services, Inc. | Social Worker | 13850 Ballantyne Corporate Pl Ste 500, Charlotte, NC 28277-2830 | 2019-02-07 |
| 1588976971 | Lisa M Devore | Psychologist | 13850 Ballantyne Corporate Pl Ste 500, Charlotte, NC 28277 | 2010-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102051 | Sassy Stylez | Durable Medical Equipment & Medical Supplies | 231 Graham Meadow Dr, Charlotte, NC 28213-4921 | 2020-10-20 |
| 1447719810 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 8421 Old Statesville Rd Ste 18, Charlotte, NC 28269-1838 | 2019-03-15 |
| 1821569294 | Atlantic Coast Orthopedic Medical Supplies | Durable Medical Equipment & Medical Supplies | 6510 Northpark Blvd Ste A, Charlotte, NC 28216-2367 | 2018-12-11 |
| 1114442563 | Little Fighters, LLC | Durable Medical Equipment & Medical Supplies | 300 Westinghouse Blvd Ste B, Charlotte, NC 28273-6233 | 2017-08-07 |
| 1265760920 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 717 Atando Ave, Suite J, Charlotte, NC 28206-1915 | 2009-11-18 |
| 1033374517 | Hoveround Corporation | Durable Medical Equipment & Medical Supplies | 4913 Chastain Ave, Unit 33, Charlotte, NC 28217-2248 | 2008-07-23 |
| 1619144763 | A Natural Look Inc | Durable Medical Equipment & Medical Supplies | 1720 E 7th Street, Charlotte, NC 28204-2464 | 2008-05-08 |
| 1821293424 | Gyn Solutions, LLC | Durable Medical Equipment & Medical Supplies | 9233 Sandpiper Dr, Charlotte, NC 28277-5520 | 2007-06-15 |
| 1497879506 | Mcmahan Shoes of Nc Inc | Durable Medical Equipment & Medical Supplies | 1809 E 7th St, Charlotte, NC 28204-2415 | 2007-03-16 |
| 1962507814 | Livewell Medical Inc | Durable Medical Equipment & Medical Supplies | 8421 Old Statesville Rd, Suite 18, Charlotte, NC 28269-1808 | 2006-09-14 |
| Find all providers in CHARLOTTE | ||||
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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.