Organization Active NPI

Rehab4Kids, LLC

  • Rehabilitation Clinic/Center
  • Port Arthur, TX
National Provider Identifier
1467566919
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
REHAB4KIDS, LLC
Practice address
8700 9TH Ave
Suite 103
Port Arthur, TX 77642-8076
Phone
(409) 722-5437
Fax
(409) 722-5435
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Mr. Joe Sanchez Jr.
Title
Director of Operations
Phone
(956) 519-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

8700 9TH Ave
Suite 103
Port Arthur, TX 77642-8076

Mailing address

8700 9TH Ave
Suite 103
Port Arthur, TX 77642-8076
Phone (409) 722-5437

Other identifiers 1

IdentifierTypeStateIssuer
184691701MedicaidTX

National Provider Directory

National Provider Directory

Locations

3455 Stagg Dr
Ste 102
Beaumont, TX 77701
Phone (409) 813-1974

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1467566919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 9TH AVE",
            "address_2": "SUITE 103",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428076",
            "telephone_number": "409-722-5437",
            "fax_number": "409-722-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 9TH AVE",
            "address_2": "SUITE 103",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428076",
            "telephone_number": "409-722-5437",
            "fax_number": "409-722-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB4KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "956-519-9700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184691701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.