Laguna Madre Rehabilitation Center Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LAGUNA MADRE REHABILITATION CENTER INC

Practice address

14121 W Hwy 290 Ste 2B
Austin, TX 78737-9397

Phone

(512) 644-7368

NPI assigned

Apr 4, 2012

Organization subpart

No

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

Authorized official

Name

Ricardo Olivas

Title

Owner

Phone

(512) 644-7368

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Emily Camille Olivas

  • Pediatric Physical Therapist
  • Austin, TX
  • NPI 1124528518
  NPD (past)

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1457617425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 MANCHESTER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374543",
            "telephone_number": "512-644-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14121 W HWY 290 STE 2B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787379397",
            "telephone_number": "512-644-7368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14101 Hwy 290 West",
            "address_2": "Bldg. 100, Suite 201",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78737",
            "country_code": "US",
            "telephone_number": "512-644-7368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14121 W Hwy 290 Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787379397",
            "country_code": "US",
            "telephone_number": "512-644-7368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAGUNA MADRE REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "OLIVAS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-644-7368"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN#",
            "identifier": "297413102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297413101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crosby Lagrone
• James Anthony Lagucik Jr., D.O.
• Ninon L Lagueruela, MS CCC SLP
• Laguna Dental and Orthodontics, PLLC (Laguna Dental and Orthodontics)
• Laguna Dental Zapata, PLLC
• Christine Anne Laguna
• Jose Roberto Laguna, L.AC.
• Grace Lahey
• Evelyn J Lai
• Janice Lai, RD, CNSC

• Home Health Agency in Austin, TX
• Providers in Austin, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.