NPIMap

Organization Active NPI

Hendrick Medical Center

  • Rehabilitation Hospital Unit
  • Abilene, TX
National Provider Identifier
1255337309
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
000500 Issued in TX
Legal business name
HENDRICK MEDICAL CENTER
Practice address
1934 Hickory St
Abilene, TX 79601-2336
Phone
(325) 670-7790
NPI assigned
Jun 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Steven Kimmel
Title
Ceo
Phone
(325) 670-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 000500 TX Primary

Addresses

Primary practice location

1934 Hickory St
Abilene, TX 79601-2336

Mailing address

1934 Hickory St
Abilene, TX 79601-2336
Phone (325) 670-7790

Other identifiers 2

IdentifierTypeStateIssuer
138644309MedicaidTX
HH0001OtherTXBLUE CROSS BLUE SHEILD

Other names 1

  • HENDRICK CENTER FOR REHABILITATION Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070328000482 TX Part A Provider - Hospital 1658281993 Practice locations: Abilene, TX

Hospital certification: CCN 45T229

Legal name
HENDRICK MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Feb 26, 1923 in TX
Enrollment address
1934 Hickory St
Hendrick Center for Rehabilitation
Abilene, TX 79601-2336
Hospital Rehabilitation Unit
Hospital subgroups
General, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Hendrick Center for RehabilitationCCN 45T229
Ownership
Non-profit
Certified
Sep 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Hendrick Medical Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Paul Waldrop Individual Corporate Director Jan 1, 2016
Hendrick Medical Center Organization, Abilene, TX Operational/Managerial Control Jun 1, 1966
Jeremy Walker Individual Corporate Officer Sep 23, 2013
Bradlee Holland Individual Corporate OfficerCeo Jan 1, 2019
W-2 Managing EmployeeCeo Jan 1, 2019
Larry Smith Individual Corporate Director Jan 1, 2012
Lanny Vinson Individual Corporate Director Nov 1, 2003
Ronald Fogle Individual Corporate Director Nov 1, 2004
Cynthia Diane Leggett Individual Corporate Director Jan 1, 2015
Michael Woodard Individual Corporate Director Nov 1, 2001
Joe Melson Individual Corporate Director Jan 1, 2015
Andrew T Eurek Individual Operational/Managerial ControlReimbursement Analyst May 11, 2018
Mark Nix Individual Corporate Director Jan 1, 2019
Cathy Ashby Individual Corporate Director Jan 1, 2009
Janet O'Dell Individual Corporate Director Jan 1, 2015
Richard Darden Individual Corporate Director Jan 1, 2020
David Morris Individual Corporate Director Nov 1, 2002
Randy Lloyd Individual Corporate Director Jan 1, 2017
Scott Hibbs Individual Corporate Director Nov 1, 2003

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hendrick Medical Center BrownwoodBrownwood, TX, CCN 450587 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 27, 2020
Hendrick Skilled Nursing FacilityAbilene, TX, CCN 455683 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 5, 1986
Dec 5, 1986
Hendrick Home HealthAbilene, TX, CCN 457761 Home health agency Operational/Managerial Control May 14, 1985
Hendrick Hospice Care, Inc.Abilene, TX, CCN 451539 Hospice Operational/Managerial Control (100%) May 5, 2009

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1255337309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012336",
            "telephone_number": "325-670-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012336",
            "telephone_number": "325-670-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-670-2000"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TX",
            "license": "000500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138644309",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "HH0001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENDRICK CENTER FOR REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.