Provider Demographics
NPI:1528036886
Name:CHESAPEAKE REHAB EQUIPMENT INC.
Entity Type:Organization
Organization Name:CHESAPEAKE REHAB EQUIPMENT INC.
Other - Org Name:NUMOTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TAMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FEITEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-257-3443
Mailing Address - Street 1:805 BROOK ST STE 402
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-3431
Mailing Address - Country:US
Mailing Address - Phone:314-447-7500
Mailing Address - Fax:
Practice Address - Street 1:4347 STATESVILLE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-4245
Practice Address - Country:US
Practice Address - Phone:704-566-1955
Practice Address - Fax:704-566-1554
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHESAPEAKE REHAB EQUIPMENT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-10
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00258332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7705355Medicaid
SCDM0920Medicaid
NC7705355Medicaid