Burleson Rehab & Care LLC
Organization Active NPI Skilled Nursing Facility · Crowley, TX
NPI 1477066488 · NPPES record last updated Jun 11, 2020
Key facts
- NPI
- 1477066488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BURLESON REHAB & CARE LLC
- Practice address
- 724 W Rendon Crowley Rd
Crowley, TX 76036-5330 - Phone
- (817) 297-4141
- Fax
- (817) 297-4363
- NPI assigned
- Nov 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kajal Grover Mehta
- Title
- Owner
- Phone
- (817) 297-4141
Affiliated clinicians 3
-
Lalitha Jagadish, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Allegiant Wellness and Rehab
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 3, 2018
- Medicare certification status
- Active
- Certified beds
- 60 · 43.2 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2153269 | Allegiant Wellness and Rehab | Certificate of waiver | Aug 22, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Skilled nursing facility certification: CCN 676452
- Legal name
- BURLESON REHAB & CARE LLC
- Doing business as
- ALLEGIANT WELLNESS AND REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jul 3, 2018
- Last certification
- Jun 20, 2024
- Beds
- 60
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC · Proprietary
- Enrollment address
- 724 W Rendon Crowley Road
Crowley, TX 76036-5330 - Nursing home name
- ALLEGIANT WELLNESS AND REHAB
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Kajal Mehta |
5% Or Greater Direct Ownership Interest |
May 6, 2015 | 13.33% |
| Managing Control - Governing Body |
May 5, 2015 | ||
| Allegiant Wellness MGMT Co LLC |
Operational/Managerial Control | May 6, 2015 | 100% |
| Adp of the SNF | Jan 29, 2025 | ||
| |
Adp of the SNF | Jan 29, 2025 | |
| Vikas Yalamanchili |
5% Or Greater Direct Ownership Interest | May 6, 2015 | 13.33% |
| Managing Control - Governing Body |
May 6, 2015 | ||
| |
Adp of the SNF | Apr 6, 2017 | |
| William Hooper |
Operational/Managerial Control | Oct 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Yalamanchili Investments LP |
5% Or Greater Indirect Ownership Interest | Dec 15, 2017 | 6% |
| Arif Fazal |
5% Or Greater Direct Ownership Interest | May 6, 2015 | 6.67% |
| Ripika Madan |
5% Or Greater Direct Ownership Interest | May 6, 2015 | 6.67% |
| Managing Control - Governing Body |
May 6, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180803000027 | TX | Part a Provider - Skilled Nursing Facility | 7911255260 | Practice locations: Crowley, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
724 W Rendon Crowley Rd
Crowley, TX 76036-5330
Mailing address
724 W Rendon Crowley Rd
Crowley, TX 76036-5330
Phone (817) 297-4141
Other names
- Allegiant Wellness and Rehab
Other providers in Crowley, TX
- Janice J Bradley
- Rebekah Anne Brittain
- Bridget D Brooks
- Mary Brown-Jacobs
- Eliza S Brown
- Eartha J Camon
- Traci Carey
- Kelsey Casto
- Alejandra M Castro
- Mary Christine Chace Highfill
All providers in Crowley, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.