Provider Demographics
NPI:1083117246
Name:CC REHAB & HOME CARE SERVICES, INC
Entity Type:Organization
Organization Name:CC REHAB & HOME CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GRADY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOOMBS
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:248-606-4351
Mailing Address - Street 1:745 BARCLAY CIR STE 340
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5811
Mailing Address - Country:US
Mailing Address - Phone:248-606-4351
Mailing Address - Fax:248-606-4362
Practice Address - Street 1:745 BARCLAY CIR STE 340
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5811
Practice Address - Country:US
Practice Address - Phone:248-606-4351
Practice Address - Fax:248-606-4362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health