Active NPI
Wellness Care Center of Denton LTD
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Lewisville, TX
National Provider Identifier
1912000472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Legal business name
- WELLNESS CARE CENTER OF DENTON LTD
- Practice address
- 701 S Charles St
Lewisville, TX 75057-4612 - Phone
- (469) 831-2541
- Fax
- (800) 669-2161
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deborah Diane Durham
- Title
- Administrator
- Phone
- (469) 831-2541
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Primary |
Addresses
Primary practice location
701 S Charles St
Lewisville, TX 75057-4612
Mailing address
701 S Charles St
Lewisville, TX 75057-4612
Phone (940) 243-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172474201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040810001178 | TX | Part A Provider - Comprehensive Outpatient Rehabilitation Facility | 6507838513 | Practice locations: Lewisville, TX |
National Provider Directory
National Provider DirectoryLocations
4851 S Interstate 35 E
Bldg C104
Corinth, TX 76210
Phone (940) 497-8700
3200 Colorado Blvd
Ste 103
Denton, TX 76210
Phone (940) 243-9500
701 S Charles St
Lewisville, TX 75057
Phone (469) 831-2541
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Rowlett, TX
- NPI 1225112303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1912000472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 S CHARLES ST",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750574612",
"telephone_number": "940-243-9500",
"fax_number": "008-669-2161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 S CHARLES ST",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750574612",
"telephone_number": "469-831-2541",
"fax_number": "800-669-2161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS CARE CENTER OF DENTON LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "DURHAM",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "469-831-2541",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172474201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
- Allan R Weaver, DDS
- Vincent Cabanog Wee, PT
- Alaya Weekley
- Amanda Welch, P.A.
- Wellness and Wound Group a Professional Limited Liability Corporation (Wellness and Wound Add DBA)
- Wellqor Psychological Services of Texas, PA
- Mary Anne Millare Wenceslao, LCSW, LCDC
- West Coast Neuromonitory Inc
- Madison Bailey Westbrook, PA-C
- Wheels for Life Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.