Powerback Rehabilitation Richardson

LBN: 1350 E. Lookout Drive Operations Llc
Powerback Rehabilitation Richardson is an health care organization with primary practice located at 1350 E Lookout Dr , Richardson TX 75082-4106. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 1350 E. Lookout Drive Operations Llc can be contacted via phone (972) 220-2000, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
1350 E Lookout Dr Richardson TX 75082-4106
Phone: (972) 220-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T.
Phone: (505) 468-4752

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 145038 Texas

Profile Details

NPI number 1295129146
LBN Legal business name 1350 E. Lookout Drive Operations Llc
DBA Doing business as Powerback Rehabilitation Richardson
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 27th, 2015
Last updated Oct 24th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295129146 NPPES
Texas MEDICAID 001026954

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