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

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: August 09, 2026.

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

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
Open in Google Maps ↗

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.

ABIGAIL ANNE HEREAU PT, DPT, ATC
Physical Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 498-2301
ANNA MARIE BRADLEY PT, DPT
Physical Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 771-7686
HEATHER HEPPER PT, DPT
Physical Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 771-7686
TERESA RENEE FINNIGAN
Speech-Language Pathologist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 771-7685
KAITLYN LANDESS OTD, OTR/L
Occupational Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 771-7686
MEGAN ANTAYA SCHMIDT OTR/L
Occupational Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 498-2301
ERIN UEHARA
Physical Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (810) 771-7686
MARRISSA TACKETT
Recreation Therapist
10483 DIXIE HWY
HOLLY, MI 48442
Oakland County (734) 657-2054

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dixie Lodge, LLC's NPI number?

The NPI number for Dixie Lodge, LLC is 1962916692. It was assigned to this organization in the NPPES registry on November 16, 2017. The provider is doing business as Rehab Without Walls Neurosolutions.

Where is Dixie Lodge, LLC located?

Dixie Lodge, LLC is located at 10483 Dixie Hwy, Holly, MI 48442. The listed phone number is (810) 866-4277.

What is Dixie Lodge, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

Does Dixie Lodge, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2283248) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dixie Lodge, LLC was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.