Harlingen Innovative Rehab LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

24779 Issued in TX

Legal business name

HARLINGEN INNOVATIVE REHAB LLC

Practice address

1021 S F St
Harlingen, TX 78550-6748

Phone

(956) 440-0806

Fax

(956) 440-0856

NPI assigned

Jul 28, 2009

Last updated

Nov 2, 2010By 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

Mrs. Eleonzetta Bonilla, M.S, CCC-SLP

Title

Speech Language Pathologist/Owner

Phone

(956) 440-0806

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Elena Camacho

  • Speech-Language Assistant
  • Harlingen, TX
  • NPI 1194205385
  NPD (past)
• Lavenia Gillespie

  • Speech-Language Pathologist
  • Weslaco, TX
  • NPI 1427558097
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1386875144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S F ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785506748",
            "telephone_number": "956-440-0806",
            "fax_number": "956-440-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 S F ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785506748",
            "telephone_number": "956-440-0806",
            "fax_number": "956-440-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLINGEN INNOVATIVE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "ELEONZETTA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "956-440-0806",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "TX",
            "license": "24779",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "24779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0A6103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202804501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harlingen Gastroenterology P a
• Harlingen Heights Dental
• Harlingen Hospitalist Group PA
• Harlingen Hypnosis and Counseling
• Harlingen Imaging Center LLC
• Harlingen Med-Center Pharmacy
• Harlingen Medical Center Limited Partnership (Harlingen Medical Center)
• Harlingen Obstetrics & Gynecology Associates, PA (Harlingen OB GYN Associates, PA)
• Harlingen Pediatrics Associates
• Harlingen Physician Network Inc (VBMC Family Practice Residency Clinic)

• Rehabilitation Clinic/Center in Harlingen, TX
• Providers in Harlingen, 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 Nov 2, 2010; 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.