RESCARE PREMIER TANGRAM BEHAVIORAL PROGRAM SOUTH (TANGRAM REHABILIATION NETWORK, INC.) NPI 1003017831

Assisted Living Facility (Assisted Living, Behavioral Disturbances) in Seguin, TX

NPI 1003017831 Organization Assisted Living Facility Assisted Living, Behavioral Disturbances

About RESCARE PREMIER TANGRAM BEHAVIORAL PROGRAM SOUTH (TANGRAM REHABILIATION NETWORK, INC.)

Rescare Premier Tangram Behavioral Program South (tangram Rehabiliation Network, Inc.) is a provider established in Seguin, Texas specializing in assisted living facility (assisted living, behavioral disturbances) . The NPI number of Rescare Premier Tangram Behavioral Program South (tangram Rehabiliation Network, Inc.) is 1003017831 and was assigned on May 2007. The practitioner's primary taxonomy code is 3104A0630X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Rescare Premier Tangram Behavioral Program South. The authorized official of this NPI record is Ms. Deena Ombres (Privacy Officer)

NPI

1003017831

Provider NameRESCARE PREMIER TANGRAM BEHAVIORAL PROGRAM SOUTH (TANGRAM REHABILIATION NETWORK, INC.)
Provider Location Address201 TANGRAM MESQUITE SEGUIN, TX 78155
Provider Mailing Address9901 LINN STATION RD LOUISVILLE, KY 40223
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameRESCARE PREMIER TANGRAM BEHAVIORAL PROGRAM SOUTH
Other Name TypeDoing Business As (3)
Enumeration Date05-30-2007
Last Update Date04-28-2009


Primary Taxonomy

Taxonomy Code3104A0630X
ClassificationAssisted Living Facility
TypeNursing & Custodial Care Facilities
SpecializationAssisted Living, Behavioral Disturbances
Taxonomy DescriptionA facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

Business Address

RESCARE PREMIER TANGRAM BEHAVIORAL PROGRAM SOUTH
201 TANGRAM MESQUITE
SEGUIN, TX
ZIP 78155
Phone: (800) 866-0860

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Mailing Address

RESCARE PREMIER TANGRAM BEHAVIORAL PROGRAM SOUTH
9901 LINN STATION RD
LOUISVILLE, KY
ZIP 40223
Phone: (800) 866-0860



Authorized Official

Authorized Official NameMS. DEENA OMBRES
Authorized Official TitlePRIVACY OFFICER
Authorized Official Phone(502) 394-2387

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
905MEDICAID (05)TX

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.