Organization Active NPI

Exalt Health Rehabilitation Hospital Wildwood LLC

  • Rehabilitation Hospital
  • Wildwood, FL
National Provider Identifier
1669277307
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
EXALT HEALTH REHABILITATION HOSPITAL WILDWOOD LLC
Practice address
4756 County Road 44a
Wildwood, FL 34785-7925
Phone
(214) 213-8372
NPI assigned
Feb 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Chad Deardorff
Title
Cfo
Phone
(214) 213-8372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

4756 County Road 44a
Wildwood, FL 34785-7925

Mailing address

2306 Guthrie Rd Ste 180
Garland, TX 75043-5952

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250617002212 FL Part A Provider - Hospital 5597276428 Practice locations: Wildwood, FL

Hospital certification: CCN 103074

Legal name
EXALT HEALTH REHABILITATION HOSPITAL WILDWOOD LLC
Doing business as
EXALT HEALTH REHABILITATION HOSPITAL WILDWOOD
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Mar 23, 2026
Last certification
Mar 23, 2026
Beds
40
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
4756 Country Road 44a
Wildwood, FL 34785-7925
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

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
10D2331839Exalt Health Rehabilitation Hospital Wildwood LLC4756 Country Road 44a, Wildwood, FL 34785Certificate of waiverOct 8, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Chad Deardorff Individual Corporate OfficerChief Financial Officer Feb 9, 2023
Corporate DirectorChief Financial Officer Feb 9, 2023
Exalt Health Opco Midco, LLC Organization, Garland, TX LLC, Chain home office 5% Or Greater Indirect Ownership Interest Feb 9, 2023 100%
Exalt Health Opco, LLC Organization, Garland, TX LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 9, 2023 100%
Exalt Health Opco Holdings, LLC Organization, Garland, TX LLC 5% Or Greater Indirect Ownership Interest Feb 9, 2023 100%
Robert R Lafleur Individual W-2 Managing EmployeeAd; May 4, 2026
Kenneth McGee Individual Corporate OfficerChief Executive Officer Feb 9, 2023
Corporate DirectorChief Executive Officer Feb 9, 2023
Jeff Crawford Individual Corporate OfficerChief Development Officer Feb 9, 2023
Corporate DirectorChief Development Officer Feb 9, 2023
W-2 Managing EmployeeChief Development Officer Feb 9, 2023

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1669277307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 GUTHRIE RD STE 180",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4756 COUNTY ROAD 44A",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347857925",
            "telephone_number": "214-213-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXALT HEALTH REHABILITATION HOSPITAL WILDWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "DEARDORFF",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "214-213-8372"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, FL

Sources for this page

Verify at the official NPI Registry.