EVEREST REHABILITATION HOSPITAL LAKELAND LLC
NPI 1619662673
Rehabilitation Hospital in Auburndale, FL

Active since April 06, 2023
1080 US HIGHWAY 92 W, AUBURNDALE, FL 33823(469) 713-1145 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Everest Rehabilitation Hospital Lakeland Llc NPPES

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

EVEREST REHABILITATION HOSPITAL LAKELAND LLC (NPI 1619662673) is a healthcare organization registered as a rehabilitation hospital in Auburndale, Florida and active in the NPI registry since April 2023. The organization lists Omar Jenkins, Cfo, as its authorized official.

NPPES Registry Identity

NPI1619662673
Entity TypeOrganization
Primary Taxonomy283X00000X
Legal Business NameEVEREST REHABILITATION HOSPITAL LAKELAND LLC
Location Address1080 US HIGHWAY 92 WAuburndale, FL 33823-9622
Mailing Address5100 Belt Line Rd Ste 310Dallas, TX 75254-7124 · (469) 713-1145
Organization SubpartNo
Authorized OfficialOmar JenkinsCfo · (469) 223-5749
Enumeration DateApril 6, 2023
NPPES CertifiedApril 6, 2023
NPI 1619662673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRehabilitation HospitalHospitals
Taxonomy Code283X00000X
Definition

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

1080 US HIGHWAY 92 W, Auburndale, FL 33823

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 45D2293986

Rehabilitation Institute Of South San Antonio · San Antonio, TX
Expired · Nov 16, 2025
CLIA Number45D2293986
Laboratory TypeHospital
Certificate Effective DateNovember 17, 2023
Certificate Expiration DateNovember 16, 2025
Laboratory DirectorDavid Salgado
Laboratory Phone(469) 713-1145
Laboratory LocationRehabilitation Institute Of South San Antonio12011 S E Loop 410, San Antonio, TX 78221
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Rehabilitation Hospital
1080 US HIGHWAY 92 W
AUBURNDALE, FL 33823

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619662673, enumerated as an "organization" on April 06, 2023.

The provider is located at 1080 US HIGHWAY 92 W AUBURNDALE, FL 33823 and the phone number is (469) 713-1145.

Rehabilitation Hospital with taxonomy code 283X00000X.