COVENANT REHABILITATION HOSPITAL OF LUBBOCK LLC (NPI# 1710368428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710368428 |
| 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 | 2015-06-18 |
| 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 | 273Y00000X | Rehabilitation Unit | Hospital Units |
| 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 |
| 1174904882 | Covenant Rehabilitation Hospital of Lubbock LLC | Psychiatric Unit | 4302 Princeton St, Lubbock, TX 79415-1304 | 2015-06-18 |
| 1518348747 | Covenant Rehabilitation Hospital of Lubbock LLC | General Acute Care Hospital | 4302 Princeton St, Lubbock, TX 79415-1304 | 2015-06-12 |
| 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 |
| 1174904882 | Covenant Rehabilitation Hospital of Lubbock LLC | Psychiatric Unit | 4302 Princeton St, Lubbock, TX 79415-1304 | 2015-06-18 |
| 1518348747 | Covenant Rehabilitation Hospital of Lubbock LLC | General Acute Care Hospital | 4302 Princeton St, Lubbock, TX 79415-1304 | 2015-06-12 |
| 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 | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235301854 | North Quaker Hospital, Lp | Rehabilitation Unit | 4302 Princeton Street, First Floor, Lubbock, TX 79415-1304 | 2008-03-25 |
| 1760543342 | Covenant Health System | Rehabilitation Unit | 3615 19th St, Lubbock, TX 79410-1203 | 2006-12-13 |
| 1730103250 | Lubbock County Hospital District | Rehabilitation Unit | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346793890 | Chukwuemeka Ozonwankwo | Rehabilitation Unit | 2111 Washington Cir, Apt 120, Arlington, TX 76011-3320 | 2016-08-02 |
| 1942650577 | Unlocking The Spectrum | Rehabilitation Unit | 9911 Sundew Cir, Houston, TX 77070-1992 | 2016-06-14 |
| 1669851879 | Supplemental Healthcare Inc. | Rehabilitation Unit | 333 Holly Creek Ct Apt 1708, The Woodlands, TX 77381 | 2015-05-20 |
| 1740683200 | Baptist Health System | Rehabilitation Unit | 5630 W Loop 1604 N Ste 108, San Antonio, TX 78251-3806 | 2014-09-29 |
| 1568899391 | Hillcrest Baptist Medical Center | Rehabilitation Unit | 100 Hillcrest Medical Blvd Fl 2, Waco, TX 76712-8897 | 2013-10-11 |
| 1194022749 | Mmc Therapy Enterprises, LLC | Rehabilitation Unit | 4951 Long Prairie Road, Suite 110, Flower Mound, TX 75028 | 2011-02-17 |
| 1437453545 | Vitality Chiropractic and Wellness | Rehabilitation Unit | 1205 Meadowlark Dr, Little Elm, TX 75068-4653 | 2011-01-04 |
| 1699832303 | Procare Therapies PC | Rehabilitation Unit | 515 E. Business Hwy. 83, Suite A, Alamo, TX 78516 | 2007-01-02 |
| 1386705390 | Sierra Providence Health Network | Rehabilitation Unit | 81 Camille Apt 44, El Paso, TX 79912-0011 | 2006-12-13 |
| 1831276930 | Harris County Hospital District | Rehabilitation Unit | 3601 North Macgregor Way, Houston, TX 77004-8004 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COVENANT REHABILITATION HOSPITAL OF LUBBOCK LLC.
| 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.