TRI-VISTA REHAB, INC
NPI 1144577339
Assisted Living Facility in Tupelo, MS

Q: What is Tri-Vista Rehab, Inc's NPI number?

The NPI number for Tri-Vista Rehab, Inc is 1144577339. It was assigned to this organization in the NPPES registry on August 7, 2012.

Q: What is Tri-Vista Rehab, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since August 07, 2012

90A CLARK BLVD, TUPELO, MS 38804(662) 840-0535(662) 842-7915 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tri-vista Rehab, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-VISTA REHAB, INC (NPI 1144577339) is a healthcare organization registered as an assisted living facility in Tupelo, Mississippi and active in the NPI registry since August 2012. The organization lists Kevin Troy Boutin, President, as its authorized official.

NPPES Registry Identity

NPI1144577339

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameTRI-VISTA REHAB, INC

Location Address90A CLARK BLVDTupelo, MS 38804-2801

Mailing Address90a Clark BlvdTupelo, MS 38804-2801 · (662) 840-0535 · Fax (662) 842-7915

Phone(662) 840-0535

Fax(662) 842-7915

Organization SubpartNo

Authorized OfficialKevin Troy BoutinPresident · (662) 840-0535

Enumeration DateAugust 7, 2012

Last NPPES UpdateSeptember 26, 2012

✔ NPI 1144577339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in MS · PT4554

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

90A CLARK BLVD, Tupelo, MS 38804

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JASON MARTIN SPENCER DPT

Physical Therapist

90A CLARK BLVD
TUPELO, MS 38804

Lee County (662) 840-0535

NIKI SMITH

Occupational Therapist

90A CLARK BLVD
TUPELO, MS 38804

Lee County (662) 840-0535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-Vista Rehab, Inc's NPI number?

The NPI number for Tri-Vista Rehab, Inc is 1144577339. It was assigned to this organization in the NPPES registry on August 7, 2012.

Where is Tri-Vista Rehab, Inc located?

Tri-Vista Rehab, Inc is located at 90A Clark Blvd, Tupelo, MS 38804. The listed phone number is (662) 840-0535.

What is Tri-Vista Rehab, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Tri-Vista Rehab, Inc was last updated on September 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.