NPIMap

Organization Active NPI

Mercy Rehab Services Inc.

Doing business as Mercy Kids Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Brownsville, TX
National Provider Identifier
1508821406
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
655900000 Issued in TX
Legal business name
MERCY REHAB SERVICES INC.
Doing business as
Mercy Kids Rehab
Practice address
1900 N Expressway Ste K
Brownsville, TX 78521-1563
Phone
(956) 541-2102
Fax
(956) 541-2502
NPI assigned
Apr 20, 2006
Last updated
Jan 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Mr. Marco Antonio Turrubiates
Title
Chief Financial Officer
Phone
(956) 428-6800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 552780000 TX
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 655900000 TX Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

1900 N Expressway Ste K
Brownsville, TX 78521-1563

Mailing address

1900 N Expressway Ste K
Brownsville, TX 78521-1563
Phone (956) 541-2102

Other practice location 1

871 Old Alice Rd
Suite 600
Brownsville, TX 78520-8274
Phone (956) 541-2102

Other practice location 2

1900 N Expressway Ste K
Brownsville, TX 78521-1563
Phone (956) 541-2102

Other identifiers 1

IdentifierTypeStateIssuer
172237301MedicaidTX

Other names 1

  • Mercy Kids Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041108000160 TX Part A Provider - Comprehensive Outpatient Rehabilitation Facility 5193788511 Practice locations: Brownsville, TX; San Juan, TX; Harlingen, TX; San Benito, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508821406. Details of each certification follow.

  • CCN 454860 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 454860

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MERCY KIDS REHAB
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
Mar 23, 2005
Last certification
Jul 2, 2019
Ownership / control type
Proprietary
Facility address
1900 N Expressway Ste K
Brownsville, TX 78521

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mercy Kids Rehab7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1900 N Expressway
Ste K
Brownsville, TX 78521
Phone (956) 343-2191

871 Old Alice Rd
Ste 600
Brownsville, TX 78520
Phone (956) 541-2102

Practitioners & affiliated clinicians

Practitioners 140

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.

View all 140

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1508821406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N EXPRESSWAY STE K",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785211563",
            "telephone_number": "956-541-2102",
            "fax_number": "956-541-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N EXPRESSWAY STE K",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785211563",
            "telephone_number": "956-541-2102",
            "fax_number": "956-541-2502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "871 Old Alice Rd",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785208274",
            "country_code": "US",
            "telephone_number": "956-541-2102",
            "fax_number": "956-541-2502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 N Expressway Ste K",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785211563",
            "country_code": "US",
            "telephone_number": "956-541-2102",
            "fax_number": "956-541-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY REHAB SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "TURRUBIATES",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "956-428-6800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "552780000",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "655900000",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172237301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Kids Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Kids Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.