UNIVERSAL HEALTH REHAB SERVICES, INC (NPI# 1801052469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801052469 |
Entity Type | Organization |
Organization Name | UNIVERSAL HEALTH REHAB SERVICES, INC |
Other Organization Name | UNIVERSAL REHAB SERVICES |
Practice Address |
1200 Country Club Ln Fort Worth TX 76112-2353 |
Practice Telephone | 8174464340 |
Mailing Telephone | 8174464340 |
Enumeration Date | 2008-08-04 |
Last Update Date | 2008-08-04 |
Authorized Official Name | KATHY WALLS (OWNER) |
Authorized Official Telephone | 8174464340 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Universal Rehab Services | Doing Business As Name - Organization |
Street Address |
1200 COUNTRY CLUB LN |
City | FORT WORTH |
State | TX |
Zip Code | 76112-2353 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487897336 | Raymond D Clark | Registered Nurse | 1200 Country Club Ln, Fort Worth, TX 76112-2353 | 2009-04-08 |
1619116746 | Kathy Diane Walls | Registered Nurse | 1200 Country Club Ln, Fort Worth, TX 76112-2353 | 2009-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396211397 | Shelia Minor | Home Health Aide | 5648 Victoria Place, Fort Worth, TX 76112 | 2018-10-17 |
1457833816 | Joanne Medford | Physical Therapy Assistant | 1704 Wilson Rd, Fort Worth, TX 76112 | 2018-09-02 |
1821525502 | Kids & Hugs Home Therapy | Home Health | 2317 Maryel Dr., Fort Worth, TX 76112 | 2017-05-12 |
1932516846 | Neuroassessment Services LLC | Clinical Neuropsychologist | 5601 Bridge Street, Suite 500, Ft. Worth, TX 76112 | 2014-07-14 |
1114346335 | Blessed Beginnings | Day Training, Developmentally Disabled Services | 2320 Blue Smoke Court North, Fort Worth, TX 76112 | 2014-04-15 |
1790035517 | Transitions for Success Inc | In Home Supportive Care | 6228 Warrington Pl Ace, Fort Worth, TX 76112 | 2012-09-19 |
1194048116 | Jerlene Bonner Tippett | Home Health Aide | 1701 Bunch Dr, Ft Worth, TX 76112 | 2010-03-04 |
1396076543 | Roy Kenji Yamada | Emergency Medicine | 5800 Forest Bend Pl., Ft. Worth, TX 76112 | 2010-01-27 |
1437488228 | Rose A Miller | Case Manager/Care Coordinator | 7312 Laurie Drive, Ft. Worth, TX 76112 | 2009-12-08 |
1174760508 | Advocate Angels | Case Management | 6829 Gary Lane, Fort Worth, TX 76112 | 2009-01-07 |
Find all providers in zip 76112 |
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 |
---|---|---|---|---|
1730223793 | Positive Health Managment, Inc. | Clinic/Center | 6816 Manhattan Blvd, Fort Worth, TX 76120 | 2007-02-16 |
1154343291 | Kass Inc | Clinic/Center | 2817 Stark St, Suite D, Fort Worth, TX 76112-6562 | 2006-07-25 |
1386647634 | Advanced Neurological Services | Clinic/Center | 2755 Alta Mesa Blvd, Fort Worth, TX 76133-5803 | 2005-05-31 |
1114382975 | Kass | Clinic/Center | 2817 Stark St, Fort Worth, TX 76112-6562 | 2015-12-22 |
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 |
City | FORT WORTH |
Zip Code | 76112 |
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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.