Organization Active NPI

Neurocare Rehab Dallas LLC

  • Rehabilitation Clinic/Center
  • Richardson, TX
National Provider Identifier
1588023071
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
NEUROCARE REHAB DALLAS LLC
Practice address
2150 Lakeside Blvd
Suite 150
Richardson, TX 75082-4302
Phone
(213) 944-4865
NPI assigned
Feb 12, 2016
Last updated
Feb 12, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
NEUROCARE REHAB HOSPITALS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Mr. Charles Raab
Title
Chief Financial Officer
Phone
(213) 944-4865

Specialties & licenses 1

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

Addresses

Primary practice location

2150 Lakeside Blvd
Suite 150
Richardson, TX 75082-4302

Mailing address

2150 Lakeside Blvd
Suite 150
Richardson, TX 75082-4302

Other names 1

  • NeuroCare Outpatient Rehabilitation Other name

National Provider Directory

National Provider Directory

Locations

2150 Lakeside Blvd
Ste 150
Richardson, TX 75082
Phone (214) 329-9600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1588023071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 LAKESIDE BLVD",
            "address_2": "SUITE 150",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 LAKESIDE BLVD",
            "address_2": "SUITE 150",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824302",
            "telephone_number": "213-944-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCARE REHAB DALLAS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROCARE REHAB HOSPITALS LLC",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "RAAB",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "213-944-4865",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroCare Outpatient Rehabilitation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.