Provider Demographics
NPI:1316460975
Name:REBOUND H2O, LLC
Entity type:Organization
Organization Name:REBOUND H2O, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER/CIFO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-778-9911
Mailing Address - Street 1:5464 NUTMEG TRL
Mailing Address - Street 2:
Mailing Address - City:LEON VALLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78238-2324
Mailing Address - Country:US
Mailing Address - Phone:210-778-9911
Mailing Address - Fax:877-900-7372
Practice Address - Street 1:5464 NUTMEG TRL
Practice Address - Street 2:
Practice Address - City:LEON VALLEY
Practice Address - State:TX
Practice Address - Zip Code:78238-2324
Practice Address - Country:US
Practice Address - Phone:210-778-9911
Practice Address - Fax:877-900-7372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion