Provider Demographics
NPI:1821080938
Name:HOPE REHAB LEAGUE CITY
Entity Type:Organization
Organization Name:HOPE REHAB LEAGUE CITY
Other - Org Name:HOPE REHAB AND AQUATIC THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:EMRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-338-6777
Mailing Address - Street 1:103 DAVIS RD
Mailing Address - Street 2:STE M
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2769
Mailing Address - Country:US
Mailing Address - Phone:281-338-6777
Mailing Address - Fax:281-338-6778
Practice Address - Street 1:103 DAVIS RD
Practice Address - Street 2:STE M
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2769
Practice Address - Country:US
Practice Address - Phone:281-338-6777
Practice Address - Fax:281-338-6778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-16
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX650850000261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00913YMedicare ID - Type UnspecifiedGROUP NUMBER