Fun Kids Rehab LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

FUN KIDS REHAB LLC

Practice address

115 W Commercial Ave
La Feria, TX 78559-5108

Phone

(956) 893-3144

NPI assigned

Feb 23, 2010

Last updated

Oct 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jose Noe OlivarezNPI 1225364391

Title

Owner

Phone

(956) 893-3144

Specialties & licenses 1

Addresses

Locations

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.

• Jose Noe Olivarez Sr., LBSW, IPR

  • Case Manager/Care Coordinator
  • La Feria, TX
  • NPI 1225364391
  NPD (past) Authorized official

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1942522545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25224 N KANSAS CITY",
            "city": "LA FERIA",
            "state": "TX",
            "postal_code": "78559",
            "telephone_number": "956-893-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W COMMERCIAL AVE",
            "city": "LA FERIA",
            "state": "TX",
            "postal_code": "785595108",
            "telephone_number": "956-893-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUN KIDS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "OLIVAREZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "NOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-893-3144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Delly Diaz Ayala, MH MHC, LPC
• Dimas Med LLC
• Charlotte Euzebio
• Fabian Silguero (Calidad Home Health)
• Fairgrounds Family Clinic PLLC
• Shelby Lee Garza
• Jon Richard Gonzalez, RD, LD
• Luis Alfredo Gonzalez, M.D.
• Candace Y Guillen, LBSW
• Samuel Edward Hinojosa

• Rehabilitation Clinic/Center in La Feria, TX
• Providers in La Feria, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.