Organization Active NPI

Wellness Care Center of Rowlett, LTD

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Garland, TX
National Provider Identifier
1396848859
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
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

Updated by the provider on Feb 26, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
176583601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050215000901 TX Part A Provider - Comprehensive Outpatient Rehabilitation Facility 9638121965 Practice locations: Garland, TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.