MEDCARE PEDIATRIC REHAB CENTER, LP (NPI# 1902333792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902333792 |
Entity Type | Organization |
Organization Name | MEDCARE PEDIATRIC REHAB CENTER, LP |
Practice Address |
21004 Interstate 45 N Spring TX 77373-2917 |
Practice Telephone | 7137735120 |
Practice Fax Number | 2812888636 |
Mailing Telephone | 7137735120 |
Mailing Fax Number | 2812888636 |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |
Authorized Official Name | PAIGE KINKADE (CEO) |
Authorized Official Telephone | 7139959292 |
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) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 1801326-01 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1144277674 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 12371 S Kirkwood Rd, Stafford, TX 77477 | 2006-05-29 |
Street Address |
21004 INTERSTATE 45 N |
City | SPRING |
State | TX |
Zip Code | 77373-2917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194227710 | Lauren Ball | Physical Therapy Assistant | 21004 Interstate 45 N, Spring, TX 77373-2917 | 2018-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669030664 | Patricia Dian Gonzalez | Counselor | 823 Liberty Springs Way, Spring, TX 77373 | 2019-06-04 |
1477025237 | 2020 Vision, Pllc | Optometrist | 25640 Kuykendahl Rd, Suite H, Spring, TX 77373 | 2018-12-18 |
1275014425 | Tamara Allen | Registered Nurse | 23442 Azalea Hill Trail, Spring, TX 77373 | 2018-08-26 |
1194233965 | Next Level Mv LLC | Clinic/Center | 25750 Kuykendahl Rd, Ste A, Spring, TX 77373 | 2018-01-16 |
1164935359 | Stephanie Gotcher | Obstetrics & Gynecology | 19740 I- 45 North, Spring, TX 77373 | 2017-11-09 |
1003338930 | Honor and Peace Assisted Living Pllc | Nursing Care | 25710 Long Hill Lane, Spring, TX 77373 | 2017-07-12 |
1053854539 | Northside Surgical Assistants | Specialist/Technologist, Other | 24506 Fort Path Dr, Spring, TX 77373 | 2016-11-30 |
1376926279 | Hklp,pllc | Dentist | 19380 I-45, Suite #110, Spring, TX 77373 | 2015-07-09 |
1316339062 | Beyond Eye Care Pllc | Preferred Provider Organization | 25510 Buffalo Springs Ct, Spring, TX 77373 | 2015-03-04 |
1386059814 | Britton Legacy Enterprises, Inc | Home Health | 26029 Aldine Westfield Rd Ste 206, Spring, TX 77373 | 2014-06-23 |
Find all providers in zip 77373 |
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 |
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 |
1790165009 | Genesis Prostep LLC | Clinic/Center | 450 E Loop 281 Ste B1, Longview, TX 75605-7969 | 2015-06-02 |
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.