Healthcare Provider Details

I. General information

NPI: 1487914743
Provider Name (Legal Business Name): CONTINUUM REHABILITATION HOSPITAL OF NORTH TEXAS, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2012
Last Update Date: 11/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 PETERS COLONY RD SUITE 300
FLOWER MOUND TX
75022-2949
US

IV. Provider business mailing address

3100 PETERS COLONY RD SUITE 300
FLOWER MOUND TX
75022-2949
US

V. Phone/Fax

Practice location:
  • Phone: 214-513-0310
  • Fax: 214-513-0329
Mailing address:
  • Phone: 214-513-0310
  • Fax: 214-513-0329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number105209
License Number StateTX

VIII. Authorized Official

Name: GREG ROGERS
Title or Position: CEO
Credential:
Phone: 214-513-0310