COVENANT REHABILITATION HOSPITAL OF LUBBOCK LLC (NPI# 1518348747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518348747 |
| Entity Type | Organization |
| Organization Name | COVENANT REHABILITATION HOSPITAL OF LUBBOCK LLC |
| Other Organization Name | TRUSTPOINT REHABILITATION HOSPITAL OF LUBBOCK |
| Practice Address |
4302 Princeton St Lubbock TX 79415-1304 |
| Practice Telephone | 8067408400 |
| Practice Fax Number | 8067495555 |
| Mailing Telephone | 8067408400 |
| Mailing Fax Number | 8067495555 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-25 |
| Authorized Official Name | CLAUDE DARBY BROCKETTE (PRESIDENT) |
| Authorized Official Telephone | 5058565300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| TrustPoint Rehabilitation Hospital of Lubbock | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952784985 | Covenant Rehabilitation Hospital of Lubbock LLC | Rehabilitation Hospital | 4302 Princeton St, Lubbock, TX 79415-1304 | 2015-07-08 |
| 1710368428 | Covenant Rehabilitation Hospital of Lubbock LLC | Rehabilitation Unit | 4302 Princeton St, Lubbock, TX 79415-1304 | 2015-06-18 |
| 1174904882 | Covenant Rehabilitation Hospital of Lubbock LLC | Psychiatric Unit | 4302 Princeton St, Lubbock, TX 79415-1304 | 2015-06-18 |
| Street Address |
4302 PRINCETON ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79415-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194952341 | Beverly Kay Brown | Occupational Therapist | 4302 Princeton St, Lubbock, TX 79415-1304 | 2009-06-15 |
| 1215471438 | Susan Sneed | Speech-Language Pathologist | 4302 Princeton St, Lubbock, TX 79415-1304 | 2016-12-06 |
| 1952784985 | Covenant Rehabilitation Hospital of Lubbock LLC | Rehabilitation Hospital | 4302 Princeton St, Lubbock, TX 79415-1304 | 2015-07-08 |
| 1710368428 | Covenant Rehabilitation Hospital of Lubbock LLC | Rehabilitation Unit | 4302 Princeton St, Lubbock, TX 79415-1304 | 2015-06-18 |
| 1174904882 | Covenant Rehabilitation Hospital of Lubbock LLC | Psychiatric Unit | 4302 Princeton St, Lubbock, TX 79415-1304 | 2015-06-18 |
| 1235367376 | Tye Michael Castle I | Physical Therapy Assistant | 4302 Princeton St, Lubbock, TX 79415-1304 | 2009-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
| 1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
| 1851575906 | Diego Rivera, M.d., P.a. | Family Medicine | 111 University Ave, Lubbock, TX 79415 | 2007-12-26 |
| 1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
| 1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
| 1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
| 1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
| 1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| Find all providers in zip 79415 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649401050 | Quaker Medical Lp | General Acute Care Hospital | 4302 Princeton St Unit B, Lubbock, TX 79415-1307 | 2009-08-03 |
| 1184888695 | Texas Tech University Health Sciences | General Acute Care Hospital | 4812 100th St, Lubbock, TX 79424-5702 | 2008-07-14 |
| 1013941780 | Covenant Long-term Care, Lp | General Acute Care Hospital | 3815 20th Street, Lubbock, TX 79410-1203 | 2006-07-10 |
| 1922001775 | Lubbock Heart Hospital, LLC | General Acute Care Hospital | 4810 North Loop 289, Lubbock, TX 79416-3025 | 2005-05-24 |
| 1497159966 | Tracy Lynn Newton | General Acute Care Hospital | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2014-10-13 |
| 1154767580 | Lubbock Heritage Hospital, LLC | General Acute Care Hospital | 2412 50th St, Lubbock, TX 79412-2504 | 2013-05-13 |
| 1598900946 | Lubbock County Hospital District | General Acute Care Hospital | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2008-12-12 |
| 1225289499 | Lubbock Heritage Hospital, LLC. | General Acute Care Hospital | 2412 50th St, Lubbock, TX 79412-2504 | 2008-10-07 |
| 1245402866 | North Quaker Hospital, Lp | General Acute Care Hospital | 4302 Princeton Street, Lubbock, TX 79415-1304 | 2008-03-25 |
| 1063557544 | Covenant Health System | General Acute Care Hospital | 3615 19th St, Lubbock, TX 79410-1203 | 2007-02-21 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.