REHAB WITHOUT WALLS NEUROSOLUTIONS
NPI 1962916692
Residential Treatment Facility, Physical Disabilities in Holly, MI

Q: What is the provider's specialty?

The provider's specialty is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

Active since November 16, 2017CLIA 23D2283248 · Waiver

10483 DIXIE HWY, HOLLY, MI 48442(810) 866-4277 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 22, 2023, May 4, 2023, Nov 16, 2017 (3 updates tracked since 2017).

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About Rehab Without Walls Neurosolutions NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REHAB WITHOUT WALLS NEUROSOLUTIONS (NPI 1962916692) is a healthcare organization registered as a residential treatment facility, physical disabilities in Holly, Michigan and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Margaret Sherry Pemberton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1962916692

Entity TypeOrganization

Primary Taxonomy320700000X

Legal Business NameDIXIE LODGE, LLC

Location Address10483 DIXIE HWYHolly, MI 48442-9311

Mailing Address805 N Whittington PkwyLouisville, KY 40222-7101 · (800) 866-0860

Phone(810) 866-4277

Organization SubpartNo

Authorized OfficialMargaret Sherry PembertonVice President · (502) 272-3466

Enumeration DateNovember 16, 2017

Last NPPES UpdateMay 22, 20233 updates tracked since enumeration

NPPES CertifiedMay 22, 2023

✔ NPI 1962916692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities

Taxonomy Code320700000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X

10483 DIXIE HWY, Holly, MI 48442

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Other Names 1

Doing Business AsRehab Without Walls Neurosolutions

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2283248

Dixie Lodge · Holly, MI

Active · expires Jun 4, 2027

CLIA Number23D2283248

Laboratory TypeResidential Adult Foster

Certificate Effective DateJune 5, 2025

Certificate Expiration DateJune 4, 2027

Laboratory DirectorRita M. Doss

Laboratory Phone(810) 866-4277

Laboratory LocationDixie Lodge10483 Dixie Highway, Holly, MI 48442

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARRISSA TACKETT

Recreation Therapist