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:
Map and Directions
Authorized official contact:
Name: Bocanegra, Ruby
Phone: (956) 424-1089

Health care specialties

SpecialtyCodeLicense #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 19 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 1811087166 NPPES
Texas Other 554300000 TX BOARD OF OCCU THERAPY
Texas Other 657030000 TX BOARD OF OCCU THERAPY

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