STATE COMMUNITY REHAB AGENCY, INC.
NPI 1922107325
Rehabilitation Unit in Houston, TX

Active since September 22, 2006
11205 MAIN ST STE 118, HOUSTON, TX 77025(713) 662-0501 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Rehabilitation Unit

About STATE COMMUNITY REHAB AGENCY, INC.

This page provides the complete NPI Profile along with additional information for State Community Rehab Agency, Inc., a provider established in Houston, Texas operating as a Rehabilitation Unit. The healthcare provider is registered in the NPI registry with number 1922107325 assigned on September 2006. The practitioner's primary taxonomy code is 273Y00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Carolyn Mickens (Coordinator)

NPI
1922107325 Verify this NPI
Provider Name
STATE COMMUNITY REHAB AGENCY, INC.
Entity Type
Organization
Location Address
11205 MAIN ST STE 118 HOUSTON, TX 77025
Location Phone
(713) 662-0501
Mailing Address
11205 MAIN ST STE 118 HOUSTON, TX 77025
Mailing Phone
(713) 662-0501
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-22-2006
Last Update Date
08-22-2020
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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

Rehabilitation Unit

Taxonomy Code
273Y00000X
Type
Hospital Units
Taxonomy Description
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.

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

MRS. CAROLYN MICKENS

Authorized Official Title
COORDINATOR
Authorized Official Phone
(713) 662-0502

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922107325, enumerated as an "organization" on September 22, 2006.

The provider is located at 11205 MAIN ST STE 118 HOUSTON, TX 77025 and the phone number is (713) 662-0501.

Rehabilitation Unit with taxonomy code 273Y00000X.