MEDCARE PEDIATRIC REHAB CENTER, LP (NPI# 1023544418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023544418 |
| Entity Type | Organization |
| Organization Name | MEDCARE PEDIATRIC REHAB CENTER, LP |
| Practice Address |
5095 Preston Ave Pasadena TX 77505-2053 |
| Practice Telephone | 2815828090 |
| Practice Fax Number | 2815828088 |
| Mailing Telephone | 2815828090 |
| Mailing Fax Number | 2815828088 |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |
| Authorized Official Name | PAIGE KINKADE (CEO) |
| Authorized Official Telephone | 7139959292 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDCARE PEDIATRIC GROUP, LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1801326-01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333792 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 21004 Interstate 45 N, Spring, TX 77373-2917 | 2017-05-11 |
| 1871029264 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 4818 E Sam Houston Pkwy N, Houston, TX 77015-3240 | 2017-05-04 |
| 1982254355 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2019-09-17 |
| 1306407325 | Medcare Pediatric Rehab Center, Lp | Pediatrics | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2019-06-21 |
| 1093213431 | Medcare Pediatric Rehab Center, Lp | Counselor | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2018-01-31 |
| 1114453404 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 21210 Kingsland Blvd, Katy, TX 77450-5898 | 2017-05-04 |
| 1043455652 | Medcare Pediatric Rehab Center, Lp | Case Management | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2008-12-10 |
| 1811146517 | Medcare Pediatric Rehab Center, Lp | Counselor | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2008-09-17 |
| 1144277674 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 12371 S Kirkwood Rd, Stafford, TX 77477 | 2006-05-29 |
| Street Address |
5095 PRESTON AVE |
| City | PASADENA |
| State | TX |
| Zip Code | 77505-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669097101 | Rise Pediatric Therapy Center LLC | Clinic/Center | 5095 Preston Ave, Pasadena, TX 77505-2053 | 2020-06-10 |
| 1245710425 | Sruthi Job | Physical Therapist | 5095 Preston Ave, Pasadena, TX 77505-2053 | 2018-08-17 |
| 1346739349 | Ellen Marie Stimson | Occupational Therapist | 5095 Preston Ave, Pasadena, TX 77505-2053 | 2018-05-04 |
| 1427557123 | Fort of Hope LLC | Custodial Care Facility | 5095 Preston Ave, Pasadena, TX 77505-2053 | 2018-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1952872905 | Bay Area Internal Medicine Care Pllc | Internal Medicine | Baywood Crossing Rehabilitation and Healthcare Center, 5020 Space Center Blvd., Pasadena, TX 77505 | 2018-12-16 |
| 1750851325 | Leslie Jackson | Nurse Practitioner | 7106 Spencer Highway, Pasadena, TX 77505 | 2018-11-27 |
| 1093297459 | Hieu Ngoc Minh Hutt | Occupational Therapy Assistant | 4900 East Sam Houston Pkwy S, Pasadena, TX 77505 | 2018-09-02 |
| 1780189142 | Basewave Properties, Pllc | Psychiatry & Neurology | 4808 Fairmont Pkwy, #404, Pasadena, TX 77505 | 2018-03-28 |
| 1720596141 | Lyanne Marlen Fernandez | Specialist/Technologist | 6565 Spencer Hwy Apt 1114, Pasadena, TX 77505 | 2018-01-19 |
| 1073069811 | Sng - Pasadena Dialysis Center Lp | Clinic/Center | 5040 Crenshaw Rd, Ste 200, Pasadena, TX 77505 | 2016-08-31 |
| 1235683418 | Sharon Li | Nurse Practitioner | 4001 Preston Rd #100, Pasadena, TX 77505 | 2016-08-05 |
| 1225493687 | Skkz, Inc. | Clinic/Center | 6415 Fairmont Pkwy, Ste A, Pasadena, TX 77505 | 2015-12-29 |
| 1982026530 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5041 Spencer Hwy, Suite 603, Pasadena, TX 77505 | 2014-01-16 |
| Find all providers in zip 77505 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992867543 | Outlook Therapy Center, Inc. | Clinic/Center | 2560 E Foothill Blvd, Pasadena, CA 91107-3406 | 2006-12-13 |
| 1073666327 | Functional Physical Therapy Inc | Clinic/Center | 2245 E Colorado Blvd Ste 202, Pasadena, CA 91107-3651 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807615 | Rise Up Rehab, LLC | Clinic/Center | 1687 Old Hwy 90, Castroville, TX 78009 | 2019-08-22 |
| 1346897709 | Rise Up Rehab, LLC | Clinic/Center | 10410 Parrigin Rd, Helotes, TX 78023-4283 | 2019-08-21 |
| 1376016410 | Elite 360 Health and Wellness | Clinic/Center | 1409 S Lamar, Ste. 245, Dallas, TX 75215-6818 | 2019-01-10 |
| 1902333792 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 21004 Interstate 45 N, Spring, TX 77373-2917 | 2017-05-11 |
| 1871029264 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 4818 E Sam Houston Pkwy N, Houston, TX 77015-3240 | 2017-05-04 |
| 1356793509 | Individual | Clinic/Center | 3500 Timberwood Cir Apt 2137, Arlington, TX 76015-3129 | 2016-07-11 |
| 1801242839 | Transitional Learning Center At Galveston | Clinic/Center | 4416 10th St, Lubbock, TX 79416-4800 | 2016-05-09 |
| 1225401805 | Milestones | Clinic/Center | 2704 S 26th St, Mcallen, TX 78503-7812 | 2015-11-04 |
| 1326421173 | Costa Therapy Institute, LLC | Clinic/Center | 1058 Palm Blvd, Brownsville, TX 78520-6168 | 2015-06-29 |
| 1790165009 | Genesis Prostep LLC | Clinic/Center | 450 E Loop 281 Ste B1, Longview, TX 75605-7969 | 2015-06-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.