# MEDCARE PEDIATRIC REHAB CENTER, LP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDCARE PEDIATRIC GROUP, LP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871029264
- **Legal business name:** MEDCARE PEDIATRIC GROUP, LP
- **Authorized official:** PAIGE KINKADE (CEO)
- **Authorized official phone:** (713) 995-9292

## Contact information

- **Practice address:** 4818 E SAM HOUSTON PKWY N, HOUSTON, TX 77015-3240
- **Practice address phone:** (713) 773-5110
- **Practice address fax:** (832) 323-5075
- **Mailing address:** 4818 E SAM HOUSTON PKWY N, HOUSTON, TX 77015-3240
- **Mailing address phone:** (713) 773-5110
- **Mailing address fax:** (832) 323-5075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2017
- **Last updated:** 05/04/2017
