Healthcare Provider Details

I. General information

NPI: 1215291547
Provider Name (Legal Business Name): RGV REHAB NORTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2012
Last Update Date: 06/22/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4925 S JACKSON RD, STE B
EDINBURG TX
78539
US

IV. Provider business mailing address

4925 S JACKSON RD, STE B
EDINBURG TX
78539
US

V. Phone/Fax

Practice location:
  • Phone: 956-631-3209
  • Fax: 956-630-4209
Mailing address:
  • Phone: 956-631-3209
  • Fax: 956-630-4209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. VELMA R ESPARZA
Title or Position: ADMINISTRATOR
Credential: OTR
Phone: 956-631-3209