Healthstar Family Rehab Center, LLC
Organization Active NPI Rehabilitation Clinic/Center · El Paso, TX
NPI 1043827124 · NPPES record last updated Aug 7, 2023
Key facts
- NPI
- 1043827124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- HEALTHSTAR FAMILY REHAB CENTER, LLC
- Practice address
- 6800 Gateway Blvd E. BLDG 4Ab
El Paso, TX 79915-1006 - Phone
- (915) 779-7827
- Fax
- (915) 779-7829
- NPI assigned
- Sep 23, 2020
- Organization subpart
- No
Authorized official
- Name
- Staci L Carlson, MS-CCC-SLP
- Title
- Owner
- Phone
- (915) 779-7827
Practitioners 17
-
Annalisa Acquaviva, MS SLP-CFY
-
Randy Cortez, OTR/L
-
Amy Alexandra Gutierrez, MS SLP INTERN
-
Jennifer Dawn Labelle, MS, CCC-SLP
-
Shawna Lee, DPT
-
Sarah Loveless, MS CCC-SLP
-
Crystal Lujan, OTR
-
Alexa-Reign Marquez, OTR
-
Amy Fox Sato, CCC-SLP
-
Yvette Sierra Duchene, M.S., CCC-SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201111001508 | TX | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 7113337627 | Practice locations: El Paso, TX |
National Provider Directory
Locations
6800 Gateway Blvd E
Bldg 4
El Paso, TX 79915
Phone (915) 779-7827
1700 N Zaragoza Rd
Ste 140
El Paso, TX 79936
Phone (915) 335-2443
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
6800 Gateway Blvd E. BLDG 4Ab
El Paso, TX 79915-1006
Mailing address
6800 Gateway Blvd E. BLDG 4Ab
El Paso, TX 79915-1006
Phone (915) 779-7827
Other practice location 1
1700 N Zaragoza Rd Ste 140
El Paso, TX 79936-7965
Phone (915) 335-2443
Other providers in El Paso, TX
- Health Corner LLC
- Health Excel Home Health Care
- Health Management Care PA
- Healthcare Solutions of El Paso
- Healthguard Supplies
- Healthstar Home Health, LLC
- Healthstar LLP
- Healthtexas Provider Network
- Healthy 32 Dental PLLC
- Healthy Days Pediatrics
All providers in El Paso, TX · Rehabilitation Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.