San Juan Life Skills Rehab @ Home, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SAN JUAN LIFE SKILLS REHAB @ HOME, LLC

Practice address

1110 S Stewart Rd Ste C
San Juan, TX 78589-5167

Phone

(956) 283-7556

Fax

(956) 283-7557

NPI assigned

Feb 14, 2013

Organization subpart

No

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

Authorized official

Name

Shelly Duffey, PT

Title

Administrator

Phone

(956) 283-7556

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1194065946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 S STEWART RD STE C",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785895167",
            "telephone_number": "956-283-7556",
            "fax_number": "956-283-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 S STEWART RD STE C",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785895167",
            "telephone_number": "956-283-7556",
            "fax_number": "956-283-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN LIFE SKILLS REHAB @ HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "DUFFEY",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-283-7556",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Salinas, OTR
• Yuliana Salinas, CNP
• Ernesto Salomon
• San Juan DME
• San Juan Family Primary Care Clinic
• San Juan Nursing Home, Inc.
• David John Secord, DPM
• Maleny Serna, LPC
• Perla Sierra
• Ramon O Sifuentes, SLPA

• Home Health Agency in San Juan, TX
• Providers in San Juan, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.