NPIMap

Organization Active NPI

Mercy Rehab Services Inc

Doing business as Mercy Kids Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Laredo, TX
National Provider Identifier
1871699389
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
552780000 655900000 Issued in TX
Legal business name
MERCY REHAB SERVICES INC
Doing business as
Mercy Kids Rehab
Practice address
2335 E Saunders St
Suite 3
Laredo, TX 78041-5434
Phone
(956) 791-4800
Fax
(956) 791-4422
NPI assigned
Sep 15, 2006
Last updated
Jan 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Mr. Marco Antonio Turrubiates
Title
Chief Financial Officer
Phone
(956) 428-6800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 552780000 655900000 TX Primary

Addresses

Primary practice location

2335 E Saunders St
Suite 3
Laredo, TX 78041-5434

Mailing address

2335 E Saunders St
Suite 3
Laredo, TX 78041-5434
Phone (956) 791-4800

Other identifiers 1

IdentifierTypeStateIssuer
172237303MedicaidTX

Other names 1

  • Mercy Kids Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050826000294 TX Part A Provider - Comprehensive Outpatient Rehabilitation Facility 5193788511 Practice locations: Laredo, TX

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Mercy Kids Rehab7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

2335 E Saunders St
Ste 3
Laredo, TX 78041
Phone (956) 791-4800

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1871699389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 E SAUNDERS ST",
            "address_2": "SUITE 3",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415434",
            "telephone_number": "956-791-4800",
            "fax_number": "956-791-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 E SAUNDERS ST",
            "address_2": "SUITE 3",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415434",
            "telephone_number": "956-791-4800",
            "fax_number": "956-791-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY REHAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "TURRUBIATES",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "956-428-6800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": "552780000  655900000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172237303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Kids Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Kids Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.