NPIMap

Organization Active NPI

Little Lighthouse Childrens Rehab

Doing business as Little Lighthouse Children's Rehab, LLC

  • Rehabilitation Clinic/Center
  • Alice, TX
National Provider Identifier
1811260193
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
LITTLE LIGHTHOUSE CHILDRENS REHAB
Doing business as
Little Lighthouse Children's Rehab, LLC
Practice address
501 N Reynolds St
Alice, TX 78332-4643
Phone
(361) 396-4029
Fax
(361) 396-4034
NPI assigned
Feb 16, 2012
Last updated
Mar 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Mr. Rick L Perez
Title
Owner
Phone
(956) 792-3277

Specialties & licenses 1

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

Addresses

Primary practice location

501 N Reynolds St
Alice, TX 78332-4643

Mailing address

503 W. Ocean Blvd.
Ste. B
Los Fresnos, TX 78566-3620
Phone (956) 233-4119

Other names 1

  • LITTLE LIGHTHOUSE CHILDREN'S REHAB, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120321000915 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0941255418 Practice locations: Alice, TX

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Little Lighthouse Children's Rehab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

400 E Main St
Alice, TX 78332
Phone (361) 369-4029

505 State Highway 100
Laguna Heights, TX 78578
Phone (956) 943-9600

503 W Ocean Blvd
Ste B
Los Fresnos, TX 78566
Phone (956) 233-4111

103 W Queen Isabella Blvd
Port Isabel, TX 78578
Phone (956) 792-3277

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1811260193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W. OCEAN BLVD.",
            "address_2": "STE. B",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785663620",
            "telephone_number": "956-233-4119",
            "fax_number": "956-233-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N REYNOLDS ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324643",
            "telephone_number": "361-396-4029",
            "fax_number": "361-396-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE LIGHTHOUSE CHILDRENS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-792-3277",
        "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": "LITTLE LIGHTHOUSE CHILDREN'S REHAB, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alice, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.