NPIMap

Organization Active NPI

Tangram Rehabilitation Network, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Maxwell, TX
National Provider Identifier
1992906721
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
TANGRAM REHABILITATION NETWORK, INC.
Practice address
5309 Texas Lone Star TRL
Maxwell, TX 78656-3610
Phone
(512) 396-8811
NPI assigned
May 30, 2007
Last updated
Aug 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Angie Mattingly
Title
MGR Provider Enrollment
Phone
(502) 630-7425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

5309 Texas Lone Star TRL
Maxwell, TX 78656-3610

Mailing address

1320 Wonder World Dr Ste 104
San Marcos, TX 78666-7558
Phone (512) 396-1200

Other identifiers 1

IdentifierTypeStateIssuer
848MedicaidTX

Other names 1

  • Tx Hill County School Other name

National Provider Directory

National Provider Directory
Tax ID family
Rehab Without Walls Neuro Rehabilitation12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

5309 Texas Lone Star Trl
Maxwell, TX 78656
Phone (512) 396-8811

1320 Wonder World Dr
Ste 104
San Marcos, TX 78666

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1992906721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WONDER WORLD DR STE 104",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667558",
            "telephone_number": "512-396-1200",
            "fax_number": "512-396-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 TEXAS LONE STAR TRL",
            "city": "MAXWELL",
            "state": "TX",
            "postal_code": "786563610",
            "telephone_number": "512-396-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGRAM REHABILITATION NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "MGR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "502-630-7425"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "848",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tx Hill County School",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Tx Hill County School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maxwell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.