Provider Demographics
NPI:1215291547
Name:RGV REHAB NORTH, LLC
Entity type:Organization
Organization Name:RGV REHAB NORTH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VELMA
Authorized Official - Middle Name:R
Authorized Official - Last Name:ESPARZA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:956-631-3209
Mailing Address - Street 1:4925 S JACKSON RD, STE B
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539
Mailing Address - Country:US
Mailing Address - Phone:956-631-3209
Mailing Address - Fax:956-630-4209
Practice Address - Street 1:4925 S JACKSON RD, STE B
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539
Practice Address - Country:US
Practice Address - Phone:956-631-3209
Practice Address - Fax:956-630-4209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-02
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX015027OtherTEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES
TX307040101Medicaid