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TIDELANDS REHABILITATION GROUP LLC
NPI 1972961910
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in North Charleston, SC

Active since February 05, 2016
4000 FABER PLACE DR, SUITE 300, NORTH CHARLESTON, SC 29405(843) 870-8822(843) 388-0349 Get Directions Write a Review

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tidelands Rehabilitation Group Llc NPPES

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

TIDELANDS REHABILITATION GROUP LLC (NPI 1972961910) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in North Charleston, South Carolina and active in the NPI registry since February 2016. The organization lists Lina Maria Norena, Coo, as its authorized official.

NPPES Registry Identity

NPI1972961910
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameTIDELANDS REHABILITATION GROUP LLC
Location Address4000 FABER PLACE DR, SUITE 300North Charleston, SC 29405-8585
Mailing Address4000 Faber Place Dr, Suite 300North Charleston, SC 29405-8585 · (843) 870-8822 · Fax (843) 388-0349
Phone(843) 870-8822
Fax(843) 388-0349
Organization SubpartNo
Authorized OfficialLina Maria NorenaCoo · (843) 870-8822
Enumeration DateFebruary 5, 2016
✔ NPI 1972961910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
License✔ Licensed in SC · 0000
4000 FABER PLACE DR, North Charleston, SC 29405
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Other Identifiers 1

MedicaidGP5849SC

Other Providers at the Same Location NPPES 9

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

MRS. SYLVIA H STEWART
Case Manager/Care Coordinator
4000 FABER PLACE DR, SUITE 327
NORTH CHARLESTON, SC 29405
Charleston County (843) 323-4270
PALMETTO FAMILY HOMECARE, LLC
In Home Supportive Care
4000 FABER PLACE DR, SUITE 327
NORTH CHARLESTON, SC 29405
Charleston County (843) 509-5207
S.FAMILY HOMECARE
In Home Supportive Care
4000 FABER PLACE DR
NORTH CHARLESTON, SC 29405
Charleston County (843) 804-5928
TORI SENIOR HOME CARE LLC
In Home Supportive Care
4000 FABER PLACE DR
CHARLESTON, SC 29405
Charleston County (843) 906-0168
TIMOTHY PARKS PH.D.
Psychologist (Clinical)
4000 FABER PLACE DR
NORTH CHARLESTON, SC 29405
Charleston County (716) 946-3138
MD2U SOUTH CAROLINA LLC
Nurse Practitioner
4000 FABER PLACE DR, SUITE 300
CHARLESTON, SC 29405
Charleston County (502) 327-9100
PATRICIA SPENS
Counselor
4000 FABER PLACE DR
CHARLESTON, SC 29405
Charleston County (312) 476-9064
HOPE ADVANCEMENT INC
Counselor (Professional)
4000 FABER PLACE DR, 300
CHARLESTON, SC 29405
Charleston County (704) 956-3062

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 Tidelands Rehabilitation Group LLC's NPI number?

The NPI number for Tidelands Rehabilitation Group LLC is 1972961910. It was assigned to this organization in the NPPES registry on February 5, 2016.

Where is Tidelands Rehabilitation Group LLC located?

Tidelands Rehabilitation Group LLC is located at 4000 Faber Place Dr Suite 300, North Charleston, SC 29405. The listed phone number is (843) 870-8822.

What is Tidelands Rehabilitation Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for Tidelands Rehabilitation Group LLC was last updated on February 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.