Organization Active NPI

Legend Rehab Center LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Houston, TX
National Provider Identifier
1265649735
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
543450000 Issued in TX
Legal business name
LEGEND REHAB CENTER LLC
Practice address
10101 Bissonnet St Ste 120
Houston, TX 77036-7855
Phone
(713) 776-3477
Fax
(713) 776-3502
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Prem P GogiaNPI 1053518605
Title
President
Phone
(713) 776-3477

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 543450000 TX Primary

Addresses

Primary practice location

10101 Bissonnet St Ste 120
Houston, TX 77036-7855

Mailing address

PO Box 742685
Houston, TX 77274-2685
Phone (713) 776-3477

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1265649735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742685",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772742685",
            "telephone_number": "713-776-3477",
            "fax_number": "713-776-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 BISSONNET ST STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367855",
            "telephone_number": "713-776-3477",
            "fax_number": "713-776-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGEND REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "GOGIA",
        "authorized_official_first_name": "PREM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-776-3477"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "543450000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.