NPIMap

Organization Active NPI

Tangram Rehabiliation Network, Inc.

Doing business as ResCare Premier Tangram Behavioral Program South

  • Assisted Living Facility (Behavioral Disturbances)
  • Seguin, TX
National Provider Identifier
1003017831
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
TANGRAM REHABILIATION NETWORK, INC.
Doing business as
ResCare Premier Tangram Behavioral Program South
Practice address
201 Tangram Mesquite
Seguin, TX 78155-8059
Phone
(800) 866-0860
NPI assigned
May 30, 2007
Last updated
Apr 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Deena Ombres
Title
Privacy Officer
Phone
(502) 394-2387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X NU Primary

Addresses

Primary practice location

201 Tangram Mesquite
Seguin, TX 78155-8059

Mailing address

9901 Linn Station Rd
Louisville, KY 40223-3808
Phone (800) 866-0860

Other identifiers 1

IdentifierTypeStateIssuer
905MedicaidTX

Other names 1

  • ResCare Premier Tangram Behavioral Program South Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rehab Without Walls Neuro Rehabilitation12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 Tangram Mesquite
Seguin, TX 78155

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1003017831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 LINN STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233808",
            "telephone_number": "800-866-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TANGRAM MESQUITE",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781558059",
            "telephone_number": "800-866-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGRAM REHABILIATION NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "OMBRES",
        "authorized_official_first_name": "DEENA",
        "authorized_official_title_or_position": "PRIVACY OFFICER",
        "authorized_official_telephone_number": "502-394-2387",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ResCare Premier Tangram Behavioral Program South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.