COVENANT REHABILITATION HOSPITAL OF LUBBOCK LLC (NPI# 1174904882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174904882 |
| 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 | 273R00000X | Psychiatric 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 |
| 1710368428 | Covenant Rehabilitation Hospital of Lubbock LLC | Rehabilitation 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 |
| 1710368428 | Covenant Rehabilitation Hospital of Lubbock LLC | Rehabilitation 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619149234 | North Quaker Hospital, Lp | Psychiatric Unit | 4302 Princeton Street, Second Floor, Lubbock, TX 79415-1304 | 2008-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184159725 | Veterans Administration | Psychiatric Unit | 4455 Horizon Hill, San Antonio, TX 78229 | 2017-04-20 |
| 1356730345 | Magellan | Psychiatric Unit | 1200 Barton Hills Dr Apt 260, Austin, TX 78704-1913 | 2015-01-14 |
| 1528314499 | Michael E. Debakey Va Medical Center | Psychiatric Unit | 3109 W Oaks Blvd, Pearland, TX 77584-8395 | 2012-07-30 |
| 1174882369 | John Adams, Md Psychiatry Pllc | Psychiatric Unit | 17720 Corporate Woods Drive, San Antonio, TX 78259 | 2012-05-09 |
| 1396055547 | Fdpp Inc | Psychiatric Unit | 9275 Richmond Ave, Suite 103, Houston, TX 77063-3951 | 2010-10-20 |
| 1043449143 | Bay Area Healthcare Group, Ltd. | Psychiatric Unit | 13725 Northwest Boulevard, Corpus Christi, TX 78410-5127 | 2009-07-09 |
| 1194953737 | Tis-therapeutic Intervention Services | Psychiatric Unit | 6715 Seinfeld Ct, Houston, TX 77069-1725 | 2009-06-22 |
| 1093955296 | Aspire Hospital, LLC | Psychiatric Unit | 2006 S Loop 336 W, # 500, Conroe, TX 77304-3315 | 2009-02-27 |
| 1568657583 | Day Surgery At Renaissance, LLC | Psychiatric Unit | 5510 Raphael Dr, Edinburg, TX 78539-1407 | 2007-09-12 |
| 1952527830 | Stephens Memorial Hospital | Psychiatric Unit | 1110 E Hullum St, Breckenridge, TX 76424-4616 | 2007-04-18 |
| Find all providers with the same taxonomy | ||||
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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.