Providence Rehabilitation Services
LBN: Providence Rehabilitation Services, Llc
Providence Rehabilitation Services is an health care organization with primary practice located at 1609 E Griffin Pkwy Suite B, Mission TX 78572-3101. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Rehabilitation. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is the primary health care specialty.
Providence Rehabilitation Services, Llc can be contacted via phone (956) 424-1089, or through Bocanegra, Ruby via phone (956) 424-1089.
Contact Information
Primary practice address
1609 E Griffin Pkwy Suite B
Mission TX 78572-3101
Phone: (956) 424-1089
Fax: (956) 424-1090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | ||
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 657030000 | Texas |
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | 657030000 | Texas |
Profile Details
| NPI number | 1811087166 |
|---|---|
| LBN Legal business name | Providence Rehabilitation Services, Llc |
| DBA Doing business as | Providence Rehabilitation Services |
| Authorized official | Bocanegra, Ruby |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 14th, 2006 |
| Last updated | Aug 2nd, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811087166 | NPPES |
| Texas | Other | 554300000 | TX BOARD OF OCCU THERAPY |
| Texas | Other | 657030000 | TX BOARD OF OCCU THERAPY |
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