REHABILITATION HOSPITAL, LLC
NPI 1174021695
Rehabilitation Hospital in Tyler, TX
About Rehabilitation Hospital, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REHABILITATION HOSPITAL, LLC (NPI 1174021695) is a healthcare organization registered as a rehabilitation hospital in Tyler, Texas and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through June 25, 2027 and lists Stephen C Petrovich, Evp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D0902643
Rehabilitation Hospital, LLC · Tyler, TXOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TYLER, TX 75701
TYLER, TX 75701
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 Rehabilitation Hospital, LLC's NPI number?
The NPI number for Rehabilitation Hospital, LLC is 1174021695. It was assigned to this organization in the NPPES registry on January 30, 2018.
Where is Rehabilitation Hospital, LLC located?
Rehabilitation Hospital, LLC is located at 701 Olympic Plaza Cir, Tyler, TX 75701. The listed phone number is (903) 596-3000.
What is Rehabilitation Hospital, LLC's specialty?
The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.
Does Rehabilitation Hospital, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0902643) is associated with this NPI, valid through June 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Rehabilitation Hospital, LLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Rehabilitation Hospital, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Rehabilitation Hospital, LLC was last updated on October 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Rehabilitation Hospital, Llc · NPI 1174021695
Rehabilitation Hospital organization in Tyler, Texas. Organization record, active in the CMS NPPES registry since January 30, 2018.
## Identity
- **NPI:** 1174021695 (Entity type: Organization)
- **Enumerated:** January 30, 2018
- **Primary specialty:** Rehabilitation Hospital · taxonomy 283X00000X
- **Organization subpart:** Yes (part of Ahs East Texas Health System Llc)
- **Authorized official:** Stephen Petrovich, EVP
## Practice location
- **Address:** 701 OLYMPIC PLAZA CIR, Tyler, TX 75701-1950
- **Phone:** (903) 596-3000
## Record status
- **NPPES last updated:** October 1, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174021695) · Data from the CMS NPPES public registry.