Organization Active NPI

East Texas Rehabilitation, LLC

  • Home Health Agency
  • Longview, TX
National Provider Identifier
1144590027
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EAST TEXAS REHABILITATION, LLC
Practice address
414 E Loop 281
Suite 5
Longview, TX 75605-7930
Phone
(903) 960-2515
NPI assigned
Jan 9, 2012
Last updated
Jan 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Mr. Rober M Wheeler Jr.
Title
Owner/Partner
Phone
(903) 757-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

414 E Loop 281
Suite 5
Longview, TX 75605-7930

Mailing address

102 Rothrock Dr Ste D
Longview, TX 75602-1537
Phone (903) 757-4100

National Provider Directory

National Provider Directory

Locations

414 E Loop 281
Ste 5
Longview, TX 75605
Phone (903) 759-7500

102 Rothrock Dr
Ste D
Longview, TX 75602

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1144590027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ROTHROCK DR STE D",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756021537",
            "telephone_number": "903-757-4100",
            "fax_number": "903-757-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E LOOP 281",
            "address_2": "SUITE 5",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057930",
            "telephone_number": "903-960-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "ROBER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "903-757-4100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.