Organization Active NPI

RGV Rehab North LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Brownsville, TX
National Provider Identifier
1962557769
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
RGV REHAB NORTH LLC
Practice address
4920 N. Expressway 77, Suite C
Brownsville, TX 78526
Phone
(956) 350-6696
Fax
(956) 350-6604
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Authorized official

Name
Mr. Jorge A Gonzalez
Title
Cfo/Owner
Phone
(956) 630-4400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X TX Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Addresses

Primary practice location

4920 N. Expressway 77, Suite C
Brownsville, TX 78526

Mailing address

1900 S. Jackson Rd, Ste 2
McAllen, TX 78503
Phone (956) 630-4400

Other identifiers 1

IdentifierTypeStateIssuer
154836401MedicaidTX

Other names 2

  • Niskers-RGV Rehab-Brownsville Doing business as
  • RGV Rehab North, LLC Other name

National Provider Directory

National Provider Directory

Locations

4920 N Expressway
Ste C
Brownsville, TX 78526
Phone (956) 350-6696

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1962557769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S. JACKSON RD, STE 2",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78503",
            "telephone_number": "956-630-4400",
            "fax_number": "956-630-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 N. EXPRESSWAY 77, SUITE C",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78526",
            "telephone_number": "956-350-6696",
            "fax_number": "956-350-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGV REHAB NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO/OWNER",
        "authorized_official_telephone_number": "956-630-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154836401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Niskers-RGV Rehab-Brownsville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RGV Rehab North, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.