Healthstar Pediatric Rehab
LBN: Ts Carlson Pediatric Rehab Lp
Healthstar Pediatric Rehab is an health care organization with primary practice located at 6800 Gateway Blvd E Bldg 4A, El Paso TX 79915-1040. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty.
Ts Carlson Pediatric Rehab Lp can be contacted via phone (915) 779-7827, or through Carlson, Staci Lyn via phone (915) 779-7827.
Contact Information
Primary practice address
6800 Gateway Blvd E Bldg 4A
El Paso TX 79915-1040
Phone: (915) 779-7827
Fax: (915) 779-7829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X |
Profile Details
| NPI number | 1417225822 |
|---|---|
| LBN Legal business name | Ts Carlson Pediatric Rehab Lp |
| DBA Doing business as | Healthstar Pediatric Rehab |
| Authorized official | Carlson, Staci Lyn SLP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2011 |
| Last updated | Aug 19th, 2015 - about 10 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 | 1417225822 | NPPES |
| Texas | MEDICAID | 295233501 |
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