REUNION PLAZA HEALTHCARE & REHABILITATION
NPI 1629493028
Skilled Nursing Facility in Tyler, TX

Active since February 22, 2014CLIA 45D0989291 · Waiver
1401 RICE RD, TYLER, TX 75703(903) 561-6060(903) 534-8045 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2022, Feb 23, 2016 (2 updates tracked since 2016).

About Reunion Plaza Healthcare & Rehabilitation NPPES

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

REUNION PLAZA HEALTHCARE & REHABILITATION (NPI 1629493028) is a healthcare organization registered as a skilled nursing facility in Tyler, Texas and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Ronald Payne, Manager, as its authorized official.

NPPES Registry Identity

NPI1629493028
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOUTHWEST LTC - REUNION PLAZA LLC
Location Address1401 RICE RDTyler, TX 75703-3233
Mailing Address5560 Tennyson Pkwy Ste 210Plano, TX 75024-3582 · (469) 916-6100 · Fax (469) 916-6105
Fax(903) 534-8045
Organization SubpartNo
Authorized OfficialRonald PayneManager · (469) 916-6100
Enumeration DateFebruary 22, 2014
Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
NPI 1629493028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1401 RICE RD, Tyler, TX 75703

Other Names 1

Doing Business AsReunion Plaza Healthcare & Rehabilitation

Other Identifiers 1

Medicaid005461TX

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 45D0989291

Reunion Plaza Healthcare & Rehabilitation · Tyler, TX
Active · expires Jul 22, 2027
CLIA Number45D0989291
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorKeith Koehler
Laboratory Phone(903) 561-6060
Laboratory LocationReunion Plaza Healthcare & Rehabilitation1401 Rice Road, Tyler, TX 75703
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Physical Therapy Assistant
1401 RICE RD
TYLER, TX 75703
Occupational Therapy Assistant
1401 RICE RD
TYLER, TX 75703
Skilled Nursing Facility
1401 RICE RD
TYLER, TX 75703
Speech-Language Pathologist
1401 RICE RD
TYLER, TX 75703
Physical Therapy Assistant
1401 RICE RD
TYLER, TX 75703
Skilled Nursing Facility
1401 RICE RD
TYLER, TX 75703
Physical Therapy Assistant
1401 RICE RD
TYLER, TX 75703
Skilled Nursing Facility
1401 RICE RD
TYLER, TX 75703

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 Southwest Ltc - Reunion Plaza LLC's NPI number?

The NPI number for Southwest Ltc - Reunion Plaza LLC is 1629493028. It was assigned to this organization in the NPPES registry on February 22, 2014. The provider is doing business as Reunion Plaza Healthcare & Rehabilitation.

Where is Southwest Ltc - Reunion Plaza LLC located?

Southwest Ltc - Reunion Plaza LLC is located at 1401 Rice Rd, Tyler, TX 75703. The listed phone number is (903) 561-6060.

What is Southwest Ltc - Reunion Plaza LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Southwest Ltc - Reunion Plaza LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0989291) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southwest Ltc - Reunion Plaza LLC was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.