Gulf Coast Rehabilitative Services, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

34703471 Issued in TX

Legal business name

GULF COAST REHABILITATIVE SERVICES, INC

Practice address

4639 Corona Dr Ste 15
Corpus Christi, TX 78411-5438

Phone

(361) 882-1413

Fax

(361) 882-1417

NPI assigned

Dec 14, 2011

Organization subpart

Yes

Parent organization

GULF COAST REHABILITATIVE SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Santos Ramirez, MFT,LCDC, LMFTNPI 1235906355

Title

President

Phone

(361) 882-1413

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

Gulf Coast Rehab SVCS Inc

Locations

Practitioners 2

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

• Santos Ramirez, MMFT,LCDC,LMFT

  • Marriage & Family Therapist
  • Corpus Christi, TX
  • NPI 1235906355

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• David Buentello

  • Mental Health Counselor
  • Corpus Christi, TX
  • NPI 1174187322

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1811266281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4639 CORONA DR STE 15",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115438",
            "telephone_number": "361-882-1413",
            "fax_number": "361-882-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4639 CORONA DR STE 15",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115438",
            "telephone_number": "361-882-1413",
            "fax_number": "361-882-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST REHABILITATIVE SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GULF COAST REHABILITATIVE SERVICES, INC.",
        "enumeration_date": "2011-12-14",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "SANTOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-882-1413",
        "authorized_official_credential": "MFT,LCDC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "34703471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Healing, P.a.
• Gulf Coast Intensivists, PLLC
• Gulf Coast Neonatology, PLLC
• Gulf Coast Physician Services, PLLC
• Gulf Coast Psychiatric Hospital PLLC
• Gulf Shore Anesthesia Associates PA
• Gulfshore Services Inc
• Donald Stephens Gullett II, MS LPC
• Seth Ryan Gundersen
• Anil Gungor, MD

• Substance Abuse Rehabilitation Facility in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.