NPIMap

Organization Active NPI

Tangram Rehabiliation Network, Inc.

  • Assisted Living Facility (Behavioral Disturbances)
  • San Marcos, TX
National Provider Identifier
1487865697
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
TANGRAM REHABILIATION NETWORK, INC.
Practice address
618 W Hutchison St
San Marcos, TX 78666-4318
Phone
(800) 866-0860
NPI assigned
May 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Angie Mattingly
Title
MGR Provider Enrollment
Phone
(502) 394-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

618 W Hutchison St
San Marcos, TX 78666-4318

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-7101
Phone (800) 866-0860

Other identifiers 1

IdentifierTypeStateIssuer
635MedicaidTX

Other names 1

  • Rehab Without Walls Neuro Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rehab Without Walls Neuro Rehabilitation12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1487865697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227101",
            "telephone_number": "800-866-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W HUTCHISON ST",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786664318",
            "telephone_number": "800-866-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGRAM REHABILIATION NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-28",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "MGR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "502-394-2100"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "635",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Without Walls Neuro Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.