Everest Rehabilitation Hospital Temple, LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

EVEREST REHABILITATION HOSPITAL TEMPLE, LLC

Doing business as

Everest Rehabilitation Hospital Temple

Practice address

23621 SE H K Dodgen Loop
Temple, TX 76504

Phone

(469) 713-1145

NPI assigned

Dec 21, 2018

Organization subpart

No

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

Authorized official

Name

Omar Jenkins

Title

Cfo

Phone

(469) 351-3321

Specialties & licenses 1

Addresses

Other names 1

• Everest Rehabilitation Hospital Temple Doing business as

Electronic endpoints 1

Practitioners 1

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

• Paul A. Friedman, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Robinson, TX
  • NPI 1790745479
  NPD (past)

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1417429945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BELT LINE RD STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547124",
            "telephone_number": "469-713-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23621 SE H K DODGEN LOOP",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76504",
            "telephone_number": "469-713-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST REHABILITATION HOSPITAL TEMPLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "469-351-3321"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Everest Rehabilitation Hospital Temple",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Everest Rehabilitation Hospital Temple",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerry F Evans, ACNP-AG
• Luzmila Evans, LMSW
• Richard D Evans
• Todd Larry Evans, DMD
• Zachary Taylor Evans, DO
• Alexandra Ewing, MD
• Jose Emilio Exaire, MD
• Express ER Temple, P.a.
• Eyemasters of Texas LTD
• Shelly Anne Faber, RN (MSN, RN, NPD-BC)

• Rehabilitation Hospital in Temple, TX
• Providers in Temple, TX by specialty
• Rehabilitation Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.