NPIMap

Organization Active NPI

Kidz Rehab Center, Inc.

  • Rehabilitation Clinic/Center
  • Kingsville, TX
National Provider Identifier
1760596993
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
KIDZ REHAB CENTER, INC.
Practice address
1724 S Brahma Blvd Ste 105
Kingsville, TX 78363-6793
Phone
(361) 592-0041
Fax
(361) 592-0043
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Mrs. Larissa Michelle Garcia-Hawkins
Title
President
Phone
(361) 668-8466

Specialties & licenses 1

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

Addresses

Primary practice location

1724 S Brahma Blvd Ste 105
Kingsville, TX 78363-6793

Mailing address

405 Highland Ave
Alice, TX 78332-3925
Phone (361) 668-8466

National Provider Directory

National Provider Directory

Locations

1801 E Main St
Alice, TX 78332

Practitioners & affiliated clinicians

Practitioners 4

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1760596993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 HIGHLAND AVE",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783323925",
            "telephone_number": "361-668-8466",
            "fax_number": "361-668-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 S BRAHMA BLVD STE 105",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783636793",
            "telephone_number": "361-592-0041",
            "fax_number": "361-592-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ REHAB CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "GARCIA-HAWKINS",
        "authorized_official_first_name": "LARISSA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-668-8466",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.