REJUVENATED LIFE (NPI# 1093876864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093876864 |
| Entity Type | Organization |
| Organization Name | REJUVENATED LIFE |
| Practice Address |
110 Hambrick Rd Houston TX 77060-5728 |
| Practice Telephone | 2816101079 |
| Mailing Telephone | 2816101079 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GEORGE GRANT (DIRECTOR) |
| Authorized Official Telephone | 2816101079 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 6134 | TX | Nursing & Custodial Care Facilities |
| Street Address |
110 HAMBRICK RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77060-5728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942822762 | Salvations Hospice | Hospice Care, Community Based | 215 W. Alabama Street, Suite 102, Houston, TX 77060 | 2020-05-14 |
| 1639790124 | Simone Warner | Case Manager/Care Coordinator | 350 Belway 8, Houston, TX 77060 | 2020-05-06 |
| 1124664685 | Leah Haynes | Technician | 514 Connorval Ln, Houston, TX 77060 | 2019-11-20 |
| 1932680576 | Jacky Thai | Physical Therapy Assistant | 11120 North Fwy, Houston, TX 77060 | 2018-08-22 |
| 1881174852 | Wesley Healthcare, LLC | Hospice Care, Community Based | 650 Sam Houston Pkwy E. Suite 210, Houston, TX 77060 | 2018-08-18 |
| 1184133506 | Rising Transportation | Non-emergency Medical Transport (VAN) | 519 N. Sam Houston Pkwy East, Ste. 450-o, Houston, TX 77060 | 2017-09-28 |
| 1205356524 | Savoy-nicholas Outreach Services, Inc. | Community/Behavioral Health | 525 N. Sam Houston Parkway E. Suite 416, Houston, TX 77060 | 2017-06-27 |
| 1942736533 | Pediatric Home Healthcare | Home Health | 363 N Sam Houston Pkwy E Ste 340, Houston, TX 77060 | 2017-05-03 |
| 1669857686 | Carlos Eduardo Garcia | Speech-Language Pathologist | 12941 North Freeway Ste. 401, Houston, TX 77060 | 2015-07-21 |
| 1982084208 | Texas Family Hospice and Palliative Care | Hospice Care, Community Based | 426 Alvin Bender, Ste C, Houston, TX 77060 | 2015-06-02 |
| Find all providers in zip 77060 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062869 | Affluent Health Care Services Inc. | Intermediate Care Facility, Mentally Retarded | 7542 Autumn Sun Dr, Houston, TX 77083-6915 | 2020-07-31 |
| 1083030357 | Embracing Angles | Intermediate Care Facility, Mentally Retarded | 4914 Teton St, Houston, TX 77033-3531 | 2014-03-11 |
| 1477978724 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 10507 Offer Dr, Houston, TX 77031-1801 | 2014-02-24 |
| 1871918417 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 7418 Antoine Dr, Houston, TX 77088-6707 | 2014-02-19 |
| 1861817405 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 9107 Spellman Rd, Houston, TX 77031-2222 | 2014-02-19 |
| 1023433679 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 8002 Fawn Terrace Dr, Houston, TX 77071-2723 | 2014-02-19 |
| 1588089130 | Educare Community Living Corporation - Gulf Coast | Intermediate Care Facility, Mentally Retarded | 12711 Shannon Hills Dr, Houston, TX 77099-1241 | 2014-02-19 |
| 1376820548 | Graphere Inc. | Intermediate Care Facility, Mentally Retarded | 1918 Wycliffe Dr, Houston, TX 77043-2706 | 2011-11-15 |
| 1215213236 | Rozebel Healthcare Services, Inc. | Intermediate Care Facility, Mentally Retarded | 9896 Bissonnet St Ste 335, Houston, TX 77036-8159 | 2011-10-24 |
| 1538467865 | Josephine Eudes Iwuh | Intermediate Care Facility, Mentally Retarded | 6211 Sonomaway, Houston, TX 77053-4347 | 2011-03-10 |
| Find all providers in HOUSTON | ||||
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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.