MEDCARE PEDIATRIC REHAB CENTER, LP
NPI 1114453404
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Katy, TX

Active since May 04, 2017CLIA 45D0991271 · Waiver
21210 KINGSLAND BLVD, KATY, TX 77450(713) 773-5180(281) 994-0188 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Rehabilitation, Comprehensive Outpatient...
  • CLIA Number: 45D1055709
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 06-22-2026

About MEDCARE PEDIATRIC REHAB CENTER, LP

This page provides the complete NPI Profile along with additional information for Medcare Pediatric Rehab Center, Lp, a provider established in Katy, Texas operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1114453404 assigned on May 2017. The practitioner's primary taxonomy code is 261QR0401X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Paige Kinkade (Ceo)

NPI
1114453404 Verify this NPI
Provider Name
MEDCARE PEDIATRIC REHAB CENTER, LP
Entity Type
Organization
Location Address
21210 KINGSLAND BLVD KATY, TX 77450
Location Phone
(713) 773-5180
Location Fax
(281) 994-0188
Mailing Address
12371 S KIRKWOOD RD STAFFORD, TX 77477
Mailing Phone
(713) 875-7435
Mailing Fax
(281) 994-0188
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-04-2017
Last Update Date
11-02-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Code
261QR0401X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAIGE KINKADE

Authorized Official Title
CEO
Authorized Official Phone
(713) 995-9292

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1801326-01MEDICAID (05)TX 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D1055709
Facility Type
Home Health Agency
Certificate Effective Date
June 23, 2024
Certificate Expiration Date
June 22, 2026
Laboratory Director
PAIGE KINKADE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medcare Pediatric Rehab Center, Lp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MEDCARE PEDIATRIC REHAB CENTER, LP

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Anesthesiology (Pain Medicine)
21210 KINGSLAND BLVD
KATY, TX 77450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114453404, enumerated as an "organization" on May 04, 2017.

The provider is located at 21210 KINGSLAND BLVD KATY, TX 77450 and the phone number is (713) 773-5180.

Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.