MEDCARE PEDIATRIC REHAB CENTER, LP (NPI# 1144277674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144277674 |
| Entity Type | Organization |
| Organization Name | MEDCARE PEDIATRIC REHAB CENTER, LP |
| Practice Address |
12371 S Kirkwood Rd Stafford TX 77477 |
| Mailing Address |
12371 S Kirkwood Rd Stafford TX 77477-2836 |
| Practice Telephone | 7139959292 |
| Practice Fax Number | 2812070659 |
| Mailing Telephone | 7137735100 |
| Mailing Fax Number | 7137735151 |
| Enumeration Date | 2006-05-29 |
| Last Update Date | 2018-08-02 |
| Authorized Official Name | MRS. PAIGE KINKADE (CEO - ADMINISTRATOR) |
| Authorized Official Telephone | 7137735100 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDCARE PEDIATRIC GROUP, LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
45-4876 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1801326-01 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5095 Preston Ave, Pasadena, TX 775052053 | 2815828090 | |
| 4818 E Sam Houston Pkwy N, Houston, TX 770153240 | 7137735100 | |
| 21004 Interstate 45 N, Spring, TX 773732917 | 7137735120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333792 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 21004 Interstate 45 N, Spring, TX 77373-2917 | 2017-05-11 |
| 1023544418 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 5095 Preston Ave, Pasadena, TX 77505-2053 | 2017-05-04 |
| 1871029264 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 4818 E Sam Houston Pkwy N, Houston, TX 77015-3240 | 2017-05-04 |
| 1982254355 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2019-09-17 |
| 1306407325 | Medcare Pediatric Rehab Center, Lp | Pediatrics | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2019-06-21 |
| 1093213431 | Medcare Pediatric Rehab Center, Lp | Counselor | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2018-01-31 |
| 1114453404 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 21210 Kingsland Blvd, Katy, TX 77450-5898 | 2017-05-04 |
| 1043455652 | Medcare Pediatric Rehab Center, Lp | Case Management | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2008-12-10 |
| 1811146517 | Medcare Pediatric Rehab Center, Lp | Counselor | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2008-09-17 |
| Street Address |
12371 S KIRKWOOD RD |
| City | STAFFORD |
| State | TX |
| Zip Code | 77477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982651410 | Medcare Pediatric Therapy, Lp | Home Health | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2006-05-29 |
| 1770199119 | Manassawee Rieck | Registered Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-09-21 |
| 1568072080 | Tyler Yvonne Hoke | Registered Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-08-10 |
| 1477174498 | Rise Aba Center LLC | Clinic/Center | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-04-30 |
| 1093336018 | Rise Home Health LLC | Home Health | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-04-30 |
| 1275154296 | Rise Staffing LLC | Nursing Care | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-04-30 |
| 1811523236 | Mia Holder | Behavioral Analyst | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-03-17 |
| 1902431513 | Chelsea Lim | Occupational Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-03-04 |
| 1366075905 | Mary Valicek | Occupational Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-02-21 |
| 1467085720 | Joy F Olurebi | Registered Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904924 | Joby George Samuel | Pharmacist | 16675 W. Airport, Meadows Place, TX 77477 | 2020-08-28 |
| 1184261851 | Butterfly Wellness, Pllc | Family Medicine | 1250 Texas Parkway Ste A1, Missouri City, TX 77477 | 2019-12-02 |
| 1013564848 | B Williams & Co | Ambulance | 435 Murphy Rd, Suite B1, #233, Stafford, TX 77477 | 2019-08-26 |
| 1033763594 | Sabrina Gonzales-smith | Behavioral Analyst | 10435 Greenbough Dr. Suite 410, Stafford, TX 77477 | 2019-08-01 |
| 1578021986 | Daniel Max & Marcandrea LLC | Optometrist | 11229 W Airport Blvd, Suite 300, Stafford, TX 77477 | 2019-03-05 |
| 1245794783 | All Peoples Choice Healthcare Services Inc | Home Health | 11707 Kenzie Ct, Meadows Place, TX 77477 | 2019-01-29 |
| 1467925867 | Sheila Densie Wiltz | Counselor | 215 Kingsway Dr., Stafford, TX 77477 | 2019-01-08 |
| 1427529312 | Bianca Gil | Behavioral Analyst | 10435 Geenbough Dr, St 410, Stafford, TX 77477 | 2018-12-17 |
| 1508349770 | Cedric Ita Eyo | Counselor | 10500 Fountain Lake Drive, Apt. 428, Stafford, TX 77477 | 2018-09-12 |
| 1386126712 | Enajite Yvonne Omezi | Registered Nurse | 3001 Dove Country Drive, Apt 1809, Stafford, TX 77477 | 2018-09-01 |
| Find all providers in zip 77477 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807615 | Rise Up Rehab, LLC | Clinic/Center | 1687 Old Hwy 90, Castroville, TX 78009 | 2019-08-22 |
| 1346897709 | Rise Up Rehab, LLC | Clinic/Center | 10410 Parrigin Rd, Helotes, TX 78023-4283 | 2019-08-21 |
| 1376016410 | Elite 360 Health and Wellness | Clinic/Center | 1409 S Lamar, Ste. 245, Dallas, TX 75215-6818 | 2019-01-10 |
| 1902333792 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 21004 Interstate 45 N, Spring, TX 77373-2917 | 2017-05-11 |
| 1023544418 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 5095 Preston Ave, Pasadena, TX 77505-2053 | 2017-05-04 |
| 1871029264 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 4818 E Sam Houston Pkwy N, Houston, TX 77015-3240 | 2017-05-04 |
| 1356793509 | Individual | Clinic/Center | 3500 Timberwood Cir Apt 2137, Arlington, TX 76015-3129 | 2016-07-11 |
| 1801242839 | Transitional Learning Center At Galveston | Clinic/Center | 4416 10th St, Lubbock, TX 79416-4800 | 2016-05-09 |
| 1225401805 | Milestones | Clinic/Center | 2704 S 26th St, Mcallen, TX 78503-7812 | 2015-11-04 |
| 1326421173 | Costa Therapy Institute, LLC | Clinic/Center | 1058 Palm Blvd, Brownsville, TX 78520-6168 | 2015-06-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.