BAY AREA REHABILITATION CENTER NPI 1003842642

NPI Information

NPI: 1003842642
Provider Name: BAY AREA REHABILITATION CENTER
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
5313 DECKER DR
BAYTOWN, TX
ZIP 77520
Phone: (281) 838-4477
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BAY AREA REHABILITATION CENTER is a rehabilitation clinic center in Baytown, TX. BAY AREA REHABILITATION CENTER NPI is 1003842642. The provider is registered as an organization entity type.

The provider's business location address is:

5313 DECKER DR
BAYTOWN, TX
ZIP 77520-413
Phone: (281) 838-4477
Fax: (281) 838-3465

The provider's authorized official is Mark A Alexander .
The authorized official title is Executive Director and has the following contact phone number (281) 838-4477.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 1/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD1600X	Clinic/Center	Developmental Disabilities			No
2	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	6052400	TEXAS	No
3	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	091741101	MEDICAID	TEXAS
2	676753	OTHER	TEXAS	MEDICARE CCN
3	021258101	MEDICAID	TEXAS
4	142522501	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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