Active NPI
Wellness Care Center of Rowlett, LTD
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Garland, TX
National Provider Identifier
1396848859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Legal business name
- WELLNESS CARE CENTER OF ROWLETT, LTD
- Practice address
- 880 E Interstate 30
Garland, TX 75043-4120 - Phone
- (214) 607-4000
- Fax
- (214) 607-4044
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deborah Diane Durham
- Title
- Administrator
- Phone
- (469) 831-2541
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Primary |
Addresses
Primary practice location
880 E Interstate 30
Garland, TX 75043-4120
Mailing address
880 E Interstate 30
Garland, TX 75043-4120
Phone (214) 607-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 176583601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050215000901 | TX | Part A Provider - Comprehensive Outpatient Rehabilitation Facility | 9638121965 | Practice locations: Garland, TX |
National Provider Directory
National Provider DirectoryLocations
1152 N Buckner Blvd
Ste 122A
Dallas, TX 75218
Phone (214) 660-8088
7600 Lakeview Pkwy
#102
Rowlett, TX 75088
Phone (214) 607-4000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1396848859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 E INTERSTATE 30",
"city": "GARLAND",
"state": "TX",
"postal_code": "750434120",
"telephone_number": "214-607-4000",
"fax_number": "214-607-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 E INTERSTATE 30",
"city": "GARLAND",
"state": "TX",
"postal_code": "750434120",
"telephone_number": "214-607-4000",
"fax_number": "214-607-4044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS CARE CENTER OF ROWLETT, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "DURHAM",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "469-831-2541",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176583601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.