NPIMap

Organization Active NPI

Palestine Principal Healthcare Limited Partnership

Doing business as Palestine Regional Medical Center - Rehabilitation Campus

  • Rehabilitation Hospital Unit
  • Palestine, TX
National Provider Identifier
1679876874
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
000629 Issued in TX
Legal business name
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
Doing business as
Palestine Regional Medical Center - Rehabilitation Campus
Practice address
2900 S Loop 256
Palestine, TX 75801-6958
Phone
(903) 731-1000
NPI assigned
Dec 9, 2010
Last updated
Mar 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Kathy J. Teague
Title
Assistant Vice President, Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 000629 TX Primary

Addresses

Primary practice location

2900 S Loop 256
Palestine, TX 75801-6958

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 1

  • Palestine Regional Medical Center - Rehabilitation Campus Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address palestine@yourcarecommunity.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110125000774 TX Part A Provider - Hospital 7214844976 Practice locations: Palestine, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679876874. Details of each certification follow.

Hospital certification: CCN 45T747

Legal name
PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
Doing business as
PALESTINE REGIONAL MEDICAL CENTER
Organization structure
OtherProprietary
Incorporated
Jul 16, 1996 in TX
Enrollment address
2900 South Loop 256
Palestine Regional Medical Center
Palestine, TX 75801-6958
Hospital Psychiatric Unit
Hospital subgroups
Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Palestine Regional Medical CenterCCN 45T747 · All quality measures
Ownership
For profit
Certified
Jan 1, 2011

National Provider Directory

National Provider Directory
Tax ID family
Palestine Principal5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Kindred Healthcare Operating LLC Organization, Louisville, KY LLC, For-profit, Chain home office Operational/Managerial Control Dec 23, 2021
Palestine-Principal G P Inc Organization, Louisville, KY Corporation, Holding company, For-profit General Partnership Interest Jul 26, 1996 1%
Jacquelyn Joy Davis Individual Contracted Managing EmployeeChain Home Office Administrator Dec 16, 2023
Scott Graeser Individual Corporate OfficerVice President, Treasurer Aug 19, 2022
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
Russell Pigg Individual Corporate OfficerPresident Mar 17, 2025
Knight Health Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Michael Joseph Bean Individual Corporate OfficerVice President, Tax Jan 21, 2022
Knight Healthcare New-B, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Dec 23, 2021
Knight Health II, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Alan Wenk Individual Corporate OfficerChief Financial Officer Mar 15, 2025

Facilities with the same owner 97

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

View all 97

Practitioners & affiliated clinicians

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": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1679876874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758016958",
            "telephone_number": "903-731-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALESTINE PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ASSISTANT VICE PRESIDENT, SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TX",
            "license": "000629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "palestine@yourcarecommunity.org",
            "affiliation": "N",
            "address_1": "2900 S Loop 256",
            "city": "Palestine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "758016958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Palestine Regional Medical Center - Rehabilitation Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palestine Regional Medical Center - Rehabilitation Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palestine, TX

Sources for this page

Verify at the official NPI Registry.