Tangram Rehabilitaiton Network, Inc.
Organization Active NPI Assisted Living Facility (Behavioral Disturbances) · Maxwell, TX
NPI 1285835017 · NPPES record last updated Apr 14, 2024
Key facts
- NPI
- 1285835017
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances) 3104A0630X
- Legal business name
- TANGRAM REHABILITAITON NETWORK, INC.
- Practice address
- 2385 FM 1984
Maxwell, TX 78656-4344 - Phone
- (800) 866-0860
- NPI assigned
- May 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Angie Mattingly
- Title
- MGR Provider Enrollment
- Phone
- (502) 394-2100
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Rehab Without Walls Neuro Rehabilitation
Locations
2385 FM 1984
Maxwell, TX 78656
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | |||
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | Yes |
Addresses
Primary practice location
2385 FM 1984
Maxwell, TX 78656-4344
Mailing address
805 N Whittington Pkwy
Louisville, KY 40222-7101
Phone (800) 866-0860
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 763 | Medicaid | TX |
Other names
- Rehab Without Walls Neuro Rehabilitation
Other providers in Maxwell, TX
- Hannah Jane Cruz
- Elizabeth Michelle Cunningham
- Deep Roots Recovery LLC
- Rafael Ramirez Flores
- Scorp Med Source LLC
- Tangram Rehabilitation Network, Inc.
- Tangram Rehabilitation Network, Inc.
- Riley Brooke Wallrath
- Chad Leif Wysong
All providers in Maxwell, TX · Assisted Living Facility (Behavioral Disturbances) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.