Organization Active NPI

Neuro Rehab & Lyphmoedema Care Center

  • Clinic/Center
  • Midland, TX
National Provider Identifier
1528033032
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
552830000 Issued in TX
Legal business name
NEURO REHAB & LYPHMOEDEMA CARE CENTER
Practice address
2611 Sunburst Dr
Midland, TX 79707-5111
Phone
(432) 520-2859
Fax
(432) 520-2861
NPI assigned
Feb 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Miss Nanda N Ambore, OTR,CLT-LANANPI 1831164532
Title
Owner
Phone
(432) 520-2859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 552830000 TX Primary

Addresses

Primary practice location

2611 Sunburst Dr
Midland, TX 79707-5111

Mailing address

2611 Sunburst Dr
Midland, TX 79707-5111
Phone (432) 520-2859

Other identifiers 1

IdentifierTypeStateIssuer
170848901MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1528033032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 SUNBURST DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075111",
            "telephone_number": "432-520-2859",
            "fax_number": "432-520-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 SUNBURST DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075111",
            "telephone_number": "432-520-2859",
            "fax_number": "432-520-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO REHAB & LYPHMOEDEMA CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-18",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "AMBORE",
        "authorized_official_first_name": "NANDA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-520-2859",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OTR,CLT-LANA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "552830000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170848901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.