LAGUNA MADRE REHABILITATION CENTER INC (NPI# 1457617425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457617425 |
| Entity Type | Organization |
| Organization Name | LAGUNA MADRE REHABILITATION CENTER INC |
| Practice Address |
14121 W Hwy 290 Ste 2b Austin TX 78737-9397 |
| Mailing Address |
561 Manchester Ln Austin TX 78737-4543 |
| Practice Telephone | 5126447368 |
| Mailing Telephone | 5126447368 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | RICARDO OLIVAS (OWNER) |
| Authorized Official Telephone | 5126447368 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CSHCN# | 297413102 | 01 |
| TX | 297413101 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14101 Hwy 290 West, Bldg. 100, Suite 201, Austin, TX 78737 | 5126447368 | |
| 14121 W Hwy 290 Ste 2b, Austin, TX 787379397 | 5126447368 |
| Street Address |
14121 W HWY 290 STE 2B |
| City | AUSTIN |
| State | TX |
| Zip Code | 78737-9397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679047914 | Ds Little Tigers Pediatric Therapy Pllc | Occupational Therapist | 14121 W Hwy 290 Ste 2b, Austin, TX 78737-9397 | 2019-01-21 |
| 1124528518 | Emily Camille Olivas | Physical Therapist | 14121 W Hwy 290 Ste 2b, Austin, TX 78737-9397 | 2018-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689864 | Chanelle Lynette Storey | Behavior Technician | Farm To Market Road 1826, Austin, TX 78737 | 2020-08-12 |
| 1699390062 | Victoria Ratliff | Behavior Technician | 8517 Fm Rd 1826, Austin, TX 78737 | 2020-06-11 |
| 1245718840 | Beatriz Ramirez | Licensed Vocational Nurse | 154 Pure Brook Way, Austin, TX 78737 | 2018-08-06 |
| 1538617378 | Andres Arismendi IIi | Dentist | 8517 Fm 1826, Building 1, Suite 500, Austin, TX 78737 | 2016-09-21 |
| 1386197689 | Ledgestone Management LLC | Assisted Living Facility | 13150 Four Star Blvd, Austin, TX 78737 | 2016-08-03 |
| 1558763284 | Capitol City Limo Austin | Transportation Broker | 1000 Gorman Springs, 12707 Fm 1826, Austin, TX 78737 | 2014-09-25 |
| 1972902427 | Green Apple Pediatric Dentistry, Pllc | Dentist | 11601 Us Hwy 290 West, Suite 105, Austin, TX 78737 | 2014-08-21 |
| 1083043574 | Kerri Lynn Salvatore | Speech-Language Pathologist | 260 Dorset Ln, Austin, TX 78737 | 2013-11-05 |
| 1730521113 | James William Green | Dermatology | 9108 Zyle Rd, Austin, TX 78737 | 2013-07-25 |
| 1457606642 | Aman Mohammed Odeh | Hospitalist | 7900 Farm To Market Rd 1826, Seton Southwest, Austin, TX 78737 | 2012-07-13 |
| Find all providers in zip 78737 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316499 | Gold Standard Therapy, Pllc | Home Health | 102 Salinas Cv, Austin, TX 78738-1781 | 2020-11-03 |
| 1891301644 | Team Select Home Care of Texas, LLC | Home Health | 709 W 34th St Ste C, Austin, TX 78705-1238 | 2020-09-17 |
| 1598387763 | Faith and Care Services | Home Health | 7608 Cayenne Ln, Austin, TX 78741-7531 | 2020-05-11 |
| 1083243679 | La Stupenda | Home Health | 12403 Mellow Meadow Dr Apt 8108, Austin, TX 78750-1957 | 2020-04-06 |
| 1407403488 | Joyous Home Healthcare Services, LLC | Home Health | 11113 Furrow Hill Dr, Austin, TX 78754-6115 | 2019-08-23 |
| 1598318529 | Hightingale Homecare Services Inc | Home Health | 12608 Esplanade St, Austin, TX 78727-4411 | 2019-07-18 |
| 1649835737 | Joy In Home Senior Care | Home Health | 300 Ferguson Dr Ste 302, Austin, TX 78753-3030 | 2019-05-05 |
| 1356807861 | Austin Home Health Supplies LLC | Home Health | 8906 Wall St Ste 702, Austin, TX 78754-4546 | 2019-02-20 |
| 1528549334 | Elder Support, LLC | Home Health | 15317 Falconhead Grove Loop, Austin, TX 78738-6883 | 2018-08-29 |
| 1154818706 | First Divine Home Healthcare Agency Inc. | Home Health | 7901 Cameron Rd Ste 302, Austin, TX 78754-3831 | 2018-04-19 |
| Find all providers in AUSTIN | ||||
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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.