NPIMap

Organization Active NPI

Famber Group, LLC

Doing business as Mission Rehabilitation Services

  • Rehabilitation Clinic/Center
  • Mission, TX
National Provider Identifier
1063699049
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
FAMBER GROUP, LLC
Doing business as
Mission Rehabilitation Services
Practice address
2002 N Conway Ave
Ste F
Mission, TX 78572-2902
Phone
(956) 432-8117
NPI assigned
Jan 22, 2008
Last updated
Jan 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Gladys Aileen Cortez
Title
Administrator
Phone
(956) 580-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

2002 N Conway Ave
Ste F
Mission, TX 78572-2902

Mailing address

2002 N Conway Ave
Ste.F
Mission, TX 78572-2902
Phone (956) 580-4040

Other names 1

  • Mission Rehabilitation Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063699049. Details of each certification follow.

  • CCN 676675 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 676675

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MISSION REHABILITATION SERVICES
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Nov 21, 2011
Last certification
May 8, 2018
Ownership / control type
Voluntary Non-Profit Other Than Church
Facility address
2002 N Conway Ave, Ste F
Mission, TX 78572

National Provider Directory

National Provider Directory

Locations

2002 N Conway Ave
Mission, TX 78572

2002 N Conway Ave
Ste F
Mission, TX 78572
Phone (956) 580-4040

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1063699049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 N CONWAY AVE",
            "address_2": "STE.F",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722902",
            "telephone_number": "956-580-4040",
            "fax_number": "956-580-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 N CONWAY AVE",
            "address_2": "STE F",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722902",
            "telephone_number": "956-432-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMBER GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "AILEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-580-4040"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.