MCH of Corpus Christi, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

MCH OF CORPUS CHRISTI, INC.

Doing business as

Deaconess Rehab

Practice address

1801 E Main St
Suite B
Alice, TX 78332-4140

Phone

(800) 362-0922

Fax

(361) 851-1175

NPI assigned

Sep 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Antoine Poythress

Title

Divisional Controller

Phone

(601) 268-1842

Specialties & licenses 1

Addresses

Other names 1

• Deaconess Rehab Doing business as

Tax ID family

Deaconess Homecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MCH of Corpus Christi, Inc.

  dba Deaconess HomeCare

  • Home Health Agency
  • Corpus Christi, TX
  • NPI 1962492108
  NPD tax ID

Locations

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376649517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16809",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394046809",
            "telephone_number": "601-268-1842",
            "fax_number": "601-268-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MAIN ST",
            "address_2": "SUITE B",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324140",
            "telephone_number": "800-362-0922",
            "fax_number": "361-851-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCH OF CORPUS CHRISTI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POYTHRESS",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_title_or_position": "DIVISIONAL CONTROLLER",
        "authorized_official_telephone_number": "601-268-1842",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deaconess Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Consuelo Iliana Martinez
• Sylvia Jean Martinez, MA, LPC
• David Mata
• Ana Ynfante Mayorga, APRN, AGPCNP-BC
• Michael Christian Vince McCarty, M.D.
• Rhonda Jean McLaughlin-Camacho, DPT
• Daniella Medellin
• Medical Imaging Diagnostic Associates
• Medquick Supplies LLC
• Erika Ann Mendez, PH.D., LPC

• Rehabilitation Clinic/Center in Alice, TX
• Providers in Alice, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.