Active NPI
Everest Rehabilitation Hospital Keller, LLC
Doing business as Texas Rehabilitation Hospital of Keller
- Rehabilitation Hospital
- Keller, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- Legal business name
- EVEREST REHABILITATION HOSPITAL KELLER, LLC
- Doing business as
- Texas Rehabilitation Hospital of Keller
- Practice address
- 791 S Main Street
Keller, TX 76248 - Phone
- (817) 562-9700
- Fax
- (817) 562-9701
- NPI assigned
- Jan 9, 2020
- Last updated
- Apr 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Daggett
- Title
- Market Ceo
- Phone
- (817) 820-3464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | NU | Primary |
Addresses
Primary practice location
791 S Main Street
Keller, TX 76248
Mailing address
791 S Main Street
Keller, TX 76248
Phone (817) 562-9700
Other names 1
- Texas Rehabilitation Hospital of Keller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200820002809 | TX | Part A Provider - Hospital | 3870919830 | Practice locations: Keller, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1033759832. Details of each certification follow.
Hospital certification: CCN 673077
- Legal name
- EVEREST REHABILITATION HOSPITAL KELLER, LLC
- Doing business as
- TEXAS REHABILITATION HOSPITAL OF KELLER
- Certification status
- Active
- Provider type (POS)
- Hospital – Rehabilitation
- Participating since
- Feb 16, 2021
- Last certification
- Feb 16, 2021
- Beds
- 36
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC
- Incorporated
- Nov 27, 2017 in TX
- Enrollment address
- 791 S Main Street
Keller, TX 76248-4905 - Hospital subgroups
- Rehabilitation
Care Compare: Inpatient rehabilitation facility
Medicare Care Compare- Listed as
- Texas Rehabilitation Hospital of Keller
- Ownership
- For profit
- Certified
- Feb 16, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2186216 | Everest Rehabilitation Hospital of Keller, LLC | Certificate of waiver | Jun 14, 2028 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
Member Of
-
dba Texas Rehabilitation Hospital
- Rehabilitation Hospital
- Fort Worth, TX
- NPI 1659688331
Member Of
Ownership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Sharon S Smeltzer | Corporate Director | Mar 1, 2023 | |
| CRH of Fort Worth LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2021 | 70% |
| Lifepoint Rehab Blocker LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 8.16% |
| Jacob B Daggett | Operational/Managerial Control | Nov 10, 2021 | |
| CHC Management Services LLC | Operational/Managerial Control | Mar 1, 2021 | |
| Lifepoint Rehab LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 70% |
| DSB Acquisition LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 70% |
| Lifepoint Health Inc | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 70% |
| Texas Rehabilitation Hospital of Fort Worth, LLC | 5% Or Greater Direct Ownership Interest | Mar 1, 2021 | 100% |
| Marcus B Poppell | Other | Dec 23, 2021 | |
| Naomi Roberts | Corporate Director | May 13, 2024 | |
| Texas Health Harris Methodist Hospital Fort Worth | 5% Or Greater Indirect Ownership Interest | Mar 1, 2021 | 30% |
| Russell a Bailey | Corporate Officer | Mar 1, 2021 | |
| Centerre Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2021 | 70% |
| Lifepoint Rehab Blocker Parent LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 61.83% |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
5% Or Greater Indirect Ownership Interest
-
dba Texas Health Retail Pharmacy
- Community/Retail Pharmacy
- Fort Worth, TX
- NPI 1477376119
5% Or Greater Indirect Ownership Interest
-
dba Texas Rehabilitation Hospital
- Rehabilitation Hospital
- Fort Worth, TX
- NPI 1659688331
5% Or Greater Direct Ownership Interest
Facilities with the same owner 70
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Carrollton Springs
- Psychiatric Hospital
- Carrollton, TX
- NPI 1134401466
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
- Rehabilitation Hospital
- El Paso, TX
- NPI 1346988516
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Longview Rehabilitation Hospital
- Rehabilitation Hospital
- Longview, TX
- NPI 1659079903
Centerre Healthcare LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Rehabilitation Institute of South San Antonio
- Rehabilitation Hospital
- San Antonio, TX
- NPI 1205567179
Centerre Healthcare LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Temple Rehabilitation Hospital
- Rehabilitation Hospital
- Temple, TX
- NPI 1639877988
Centerre Healthcare LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Central Texas Rehabilitation Hospital
- Rehabilitation Hospital
- Austin, TX
- NPI 1609091693
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba WellBridge Healthcare Fort Worth
- Psychiatric Hospital
- Fort Worth, TX
- NPI 1285258640
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Mesa Springs
- Psychiatric Hospital
- Fort Worth, TX
- NPI 1366880627
Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Methodist Rehabilitation Hospital
- Rehabilitation Hospital
- Dallas, TX
- NPI 1487848941
Centerre Healthcare LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Rock Springs
- Psychiatric Hospital
- Georgetown, TX
- NPI 1184056954
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Texas Rehabilitation Hospital of Arlington
- Rehabilitation Hospital
- Arlington, TX
- NPI 1962809541
Centerre Healthcare LLC, CHC Management Services LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Texas Rehabilitation Hospital
- Rehabilitation Hospital
- Fort Worth, TX
- NPI 1659688331
Centerre Healthcare LLC, CRH of Fort Worth LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC, Texas Health Harris Methodist Hospital Fort Worth
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rehabilitation Practitioner
- Fort Worth, TX
- NPI 1184661654
-
- Physical Medicine & Rehabilitation Physician
- Dallas, TX
- NPI 1972528792
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Nephrology Physician
- Fort Worth, TX
- NPI 1801830716
Inpatient rehabilitation facility
-
- Rehabilitation Practitioner
- Fort Worth, TX
- NPI 1184661654
Inpatient rehabilitation facility
-
- Physical Medicine & Rehabilitation Physician
- Dallas, TX
- NPI 1972528792
Inpatient rehabilitation facility
-
- Internal Medicine Physician
- Bedford, TX
- NPI 1841219912
Inpatient rehabilitation facility
-
- Family Nurse Practitioner
- North Richland Hills, TX
- NPI 1114593209
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712880000000",
"number": "1033759832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 S MAIN STREET",
"city": "KELLER",
"state": "TX",
"postal_code": "76248",
"telephone_number": "817-562-9700",
"fax_number": "817-562-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 S MAIN STREET",
"city": "KELLER",
"state": "TX",
"postal_code": "76248",
"telephone_number": "817-562-9700",
"fax_number": "817-562-9701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVEREST REHABILITATION HOSPITAL KELLER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-09",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A",
"authorized_official_last_name": "DAGGETT",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "MARKET CEO",
"authorized_official_telephone_number": "817-820-3464"
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Texas Rehabilitation Hospital of Keller",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Texas Rehabilitation Hospital of Keller",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.