NPIMap

Organization Active NPI

Indianapolis Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • Carmel, IN
National Provider Identifier
1104465715
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
INDIANAPOLIS REHABILITATION HOSPITAL, LLC
Practice address
1260 City Center Dr
Carmel, IN 46032-3810
Phone
(469) 640-6503
NPI assigned
Dec 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracey Nixon
Title
Chief Compliance Officer
Phone
(469) 640-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

1260 City Center Dr
Carmel, IN 46032-3810

Mailing address

450 Century Pkwy Ste 220
Allen, TX 75013-8135
Phone (469) 640-6503

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201119000656 IN Part A Provider - Hospital 0749691954 Practice locations: Carmel, IN

Hospital certification: CCN 153048

Legal name
INDIANAPOLIS REHABILITATION HOSPITAL, LLC
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Mar 18, 2021
Last certification
Mar 18, 2021
Beds
40
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
1260 City Center Dr
Carmel, IN 46032-3810
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Indianapolis Rehabilitation Hospital, LLCCCN 153048
Ownership
For profit
Certified
Mar 18, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2211105Indianapolis Rehabilitation Hospital Lab1260 City Center Drive, Carmel, IN 46032Certificate of waiverJan 25, 2027

National Provider Directory

National Provider Directory

Locations

450 Century Pkwy
Ste 320
Allen, TX 75013

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tracey Nixon Individual Corporate OfficerChief Compliance Officer Aug 5, 2019
Nepi, LLC Organization, Grapevine, TX LLC 5% Or Greater Indirect Ownership Interest Apr 26, 2023 6%
Daryn Eudaly Individual 5% Or Greater Indirect Ownership Interest Apr 26, 2023 45.58%
Alex Bennett Individual 5% Or Greater Indirect Ownership Interest Apr 26, 2023 8.39%
Nesi, LLC Organization, Grapevine, TX LLC 5% Or Greater Indirect Ownership Interest Apr 26, 2023 6%
SPC Capital, Inc. Organization, Grapevine, TX Corporation 5% Or Greater Indirect Ownership Interest Jul 28, 2025 22.79%
New Era Companies, LLC Organization, Grapevine, TX LLC 5% Or Greater Indirect Ownership Interest Apr 26, 2023 45.59%
Nec Rhi, LLC Organization, Grapevine, TX LLC 5% Or Greater Indirect Ownership Interest Apr 26, 2023 27.58%
WB Development Holdings, LLC Organization, Irving, TX LLC 5% Or Greater Indirect Ownership Interest Apr 26, 2023 33.58%
Nobis Rehabilitation Partners, LLC Organization, Lucas, TX LLC Operational/Managerial Control Feb 3, 2021 100%
Newera Nobis Operations Holdings, LLC Organization, Grapevine, TX LLC 5% Or Greater Direct Ownership Interest Jun 7, 2019 100%
Nobis Hospital Investments, LLC Organization, Lucas, TX LLC 5% Or Greater Indirect Ownership Interest Apr 26, 2023 6%
Ahac Investments, LLC Organization, Irving, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 26, 2023 8.39%
Newera Irf Holdings, LLC Organization, Grapevine, TX LLC 5% Or Greater Indirect Ownership Interest Jun 7, 2019 100%
Karen Macy Schepis Individual Corporate DirectorCorporate Director of Compliance Apr 26, 2023
Logan Savage Individual W-2 Managing EmployeeAd; May 20, 2024
Nobis Rehabilitation Holdings, LLC Organization, Lucas, TX LLC 5% Or Greater Indirect Ownership Interest Apr 26, 2023 6%
Margie Crawley Individual Corporate DirectorCorporate Director of Revenue Cycle Sep 29, 2025
Irf JV Investors, LLC Organization, Grapevine, TX LLC 5% Or Greater Indirect Ownership Interest Apr 26, 2023 6%

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1104465715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CENTURY PKWY STE 220",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138135",
            "telephone_number": "469-640-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 CITY CENTER DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323810",
            "telephone_number": "469-640-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANAPOLIS REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "469-640-6500"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.