Active NPI
Sunshine Rehab, LLC
- Speech-Language Pathologist
- San Benito, TX
National Provider Identifier
1083938187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15637
- Legal business name
- SUNSHINE REHAB, LLC
- Doing business as
- Sunshine Rehab
- Practice address
- 875 S Sam Houston Blvd Ste D
San Benito, TX 78586-3062 - Phone
- (956) 281-1274
- NPI assigned
- Mar 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rachel Calderon
- Title
- Business Manager
- Phone
- (956) 281-1274
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 15637 | TX | Primary |
Addresses
Primary practice location
875 S Sam Houston Blvd Ste D
San Benito, TX 78586-3062
Mailing address
875 S Sam Houston Blvd Ste D
San Benito, TX 78586-3062
Phone (956) 281-1274
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15637 | Other | TX | STATE OF TEXAS SPEECH BOARD NUMBER FOR CLINICAL MANAGER |
| NONE | Other | TX | WE CURRENTLY ARE A NEW PRACTICE PENDING CMS PAPERWORK |
Other names 1
- Sunshine Rehab
National Provider Directory
National Provider Directory- Tax ID family
- Sunshine Rehab LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- San Benito, TX
- NPI 1396092821
-
- Rehabilitation Clinic/Center
- San Benito, TX
- NPI 1801178090
Locations
875 S Sam Houston Blvd
Ste D
San Benito, TX 78586
Phone (956) 281-1274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268784000000",
"number": "1083938187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 S SAM HOUSTON BLVD STE D",
"city": "SAN BENITO",
"state": "TX",
"postal_code": "785863062",
"telephone_number": "956-281-1274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 S SAM HOUSTON BLVD STE D",
"city": "SAN BENITO",
"state": "TX",
"postal_code": "785863062",
"telephone_number": "956-281-1274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSHINE REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-17",
"last_updated": "2010-03-17",
"status": "A",
"authorized_official_last_name": "CALDERON",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "956-281-1274",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "15637",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TEXAS SPEECH BOARD NUMBER FOR CLINICAL MANAGER",
"identifier": "15637",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WE CURRENTLY ARE A NEW PRACTICE PENDING CMS PAPERWORK",
"identifier": "NONE",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunshine Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Benito, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.