NPIMap

Organization Active NPI

Innovations Healthcare Rehabilitation, LLC

  • Specialist
  • El Paso, TX
National Provider Identifier
1164725545
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1159340 Issued in TX
Legal business name
INNOVATIONS HEALTHCARE REHABILITATION, LLC
Practice address
1941 Saul Kleinfeld Dr
107
El Paso, TX 79936-3774
Phone
(915) 855-3363
Fax
(915) 855-6100
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Lorrain Hannagan
Title
Administrator
Phone
(915) 855-3363

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 3112 NM
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 1159340 TX Primary

Addresses

Primary practice location

1941 Saul Kleinfeld Dr
107
El Paso, TX 79936-3774

Mailing address

5971 Cornhusk LN
El Paso, TX 79932-2303
Phone (915) 855-3363

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1164725545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5971 CORNHUSK LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799322303",
            "telephone_number": "915-855-3363",
            "fax_number": "915-855-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 SAUL KLEINFELD DR",
            "address_2": "107",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363774",
            "telephone_number": "915-855-3363",
            "fax_number": "915-855-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIONS HEALTHCARE REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "HANNAGAN",
        "authorized_official_first_name": "LORRAIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-855-3363"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "3112",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "1159340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.