NPIMap

Organization Active NPI

Safari Kids Rehabilitation Center,LLC

Doing business as Safari Kids Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Laredo, TX
National Provider Identifier
1154567568
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
676667 Issued in TX
Legal business name
SAFARI KIDS REHABILITATION CENTER,LLC
Doing business as
Safari Kids Rehab
Practice address
2108 Chihuahua St
Suite# 3
Laredo, TX 78043-3658
Phone
(956) 568-4675
Fax
(956) 568-4671
NPI assigned
Jan 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Mrs. Esmeralda E. Gonzalez, M.A., CCC-SLPNPI 1508051343
Title
Co-Owner,Speech Language Pathologis
Phone
(956) 568-4675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 111552 TX
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 100691 TX
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 676667 TX Primary

Addresses

Primary practice location

2108 Chihuahua St
Suite# 3
Laredo, TX 78043-3658

Mailing address

2108 Chihuahua St
Suite#2
Laredo, TX 78043-3657
Phone (956) 568-4675

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNO NUMBERS AVAILABLE

Other names 1

  • Safari Kids Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

702 Galveston St
Laredo, TX 78040
Phone (956) 568-4571

2108 Chihuahua St
Ste 3
Laredo, TX 78043
Phone (956) 568-4571

2108 Chihuahua St
Ste 2
Laredo, TX 78043
Phone (956) 568-4571

2108 Chihuahua St
Ste 7
Laredo, TX 78043

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1154567568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 CHIHUAHUA ST",
            "address_2": "SUITE#2",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780433657",
            "telephone_number": "956-568-4675",
            "fax_number": "956-568-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 CHIHUAHUA ST",
            "address_2": "SUITE# 3",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780433658",
            "telephone_number": "956-568-4675",
            "fax_number": "956-568-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFARI KIDS REHABILITATION CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ESMERALDA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CO-OWNER,SPEECH LANGUAGE PATHOLOGIS",
        "authorized_official_telephone_number": "956-568-4675",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111552",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100691",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "676667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO NUMBERS AVAILABLE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safari Kids Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.