Provider Demographics
NPI:1750640124
Name:POLICARPIO ENTERPRISES LLC
Entity Type:Organization
Organization Name:POLICARPIO ENTERPRISES LLC
Other - Org Name:PROFESSIONAL REHAB SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:
Authorized Official - Last Name:POLICARPIO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:956-664-9904
Mailing Address - Street 1:801 E NOLANA AVE
Mailing Address - Street 2:STE 10
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6112
Mailing Address - Country:US
Mailing Address - Phone:956-664-9889
Mailing Address - Fax:956-664-9879
Practice Address - Street 1:801 E NOLANA AVE
Practice Address - Street 2:STE 10
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6112
Practice Address - Country:US
Practice Address - Phone:956-664-9889
Practice Address - Fax:956-664-9879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-04
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty