Provider Demographics
NPI:1851421663
Name:CAROLINA REHAB PRODUCTS, INC.
Entity Type:Organization
Organization Name:CAROLINA REHAB PRODUCTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:PARRISH
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-845-3355
Mailing Address - Street 1:6900 SIX FORKS RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6458
Mailing Address - Country:US
Mailing Address - Phone:919-845-3355
Mailing Address - Fax:919-845-7707
Practice Address - Street 1:6900 SIX FORKS RD
Practice Address - Street 2:SUITE 102
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6458
Practice Address - Country:US
Practice Address - Phone:919-845-3355
Practice Address - Fax:919-845-7707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7700863Medicaid
NC7700863Medicaid
NC0818890001Medicare NSC