Organization Active NPI

Texas Corf Inc

Doing business as Life Skills Therapy Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Alamo, TX
National Provider Identifier
1801823869
Registry record updated Dec 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
454848 Issued in TX
Legal business name
TEXAS CORF INC
Doing business as
Life Skills Therapy Center
Practice address
427 E Duranta Ave
Suite 110
Alamo, TX 78516-3406
Phone
(956) 783-8813
NPI assigned
Jun 27, 2006
Last updated
Dec 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2008

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

Authorized official

Name
Johnny Rodriguez
Title
Owner/President
Phone
(956) 373-0232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 454848 TX Primary

Addresses

Primary practice location

427 E Duranta Ave
Suite 110
Alamo, TX 78516-3406

Mailing address

PO Box 1900
Weslaco, TX 78599-1900
Phone (956) 783-8813

Other identifiers 1

IdentifierTypeStateIssuer
173056601MedicaidTX

Other names 1

  • LIFE SKILLS THERAPY CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1326 N Ed Carey Dr
Harlingen, TX 78550
Phone (956) 364-2030

2115 Pleasanton Rd
Ste 203
San Antonio, TX 78221
Phone (210) 924-2115

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": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229212800000",
    "number": "1801823869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1900",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785991900",
            "telephone_number": "956-783-8813",
            "fax_number": "956-783-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E DURANTA AVE",
            "address_2": "SUITE 110",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785163406",
            "telephone_number": "956-783-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS CORF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-12-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "956-373-0232"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "454848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173056601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE SKILLS THERAPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamo, TX

Sources for this page

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