NPIMap

Organization Active NPI

Reunion Rehabilitation Hospital Peoria, LLC

Doing business as Rehabilitation Hospital Peoria

  • Rehabilitation Hospital
  • Peoria, AZ
National Provider Identifier
1922723121
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
REUNION REHABILITATION HOSPITAL PEORIA, LLC
Doing business as
Rehabilitation Hospital Peoria
Reunion Rehabilitation Hospital Peoria
Practice address
13451 N 94TH Dr
Peoria, AZ 85381-5056
Phone
(623) 303-7099
NPI assigned
Oct 10, 2022
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Denise Kann
Title
Vice President and Secretary
Phone
(972) 216-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X NU Primary

Addresses

Primary practice location

13451 N 94TH Dr
Peoria, AZ 85381-5056

Mailing address

1024 N Galloway Ave Ste 102
Mesquite, TX 75149-2434

Other names 2

  • Rehabilitation Hospital Peoria Doing business as
  • Reunion Rehabilitation Hospital Peoria Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230208001683 AZ Part A Provider - Hospital 4981076502 Practice locations: Peoria, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922723121. Details of each certification follow.

Hospital certification: CCN 033045

Legal name
REUNION REHABILITATION HOSPITAL PEORIA, LLC
Doing business as
PENSA NUWIND, LLC
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Apr 15, 2023
Last certification
Apr 15, 2023
Beds
40
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jul 28, 2021 in TX
Enrollment address
13451 N 94TH Dr
Peoria, AZ 85381-5056
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Reunion Rehabilitation Hospital Peoria LLCCCN 033045 · All quality measures
Ownership
For profit
Certified
Apr 15, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
03D2277877Reunion Rehabilitation Hospital Peoria13451 N 94TH Dr, Peoria, AZ 85381Certificate of waiverMar 6, 2027

National Provider Directory

National Provider Directory

Locations

450 Century Pkwy
Ste 200
Allen, TX 75013

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Tracey Nixon Individual Corporate OfficerChief Compliance Officer Jan 15, 2023
Mandola, Inc Organization, Honolulu, HI Corporation 5% Or Greater Indirect Ownership Interest Mar 7, 2026 22.11%
Kevin Loh Individual 5% Or Greater Indirect Ownership Interest Jan 15, 2023 22.21%
Pensa Nuwind, LLC Organization, Honolulu, HI LLC 5% Or Greater Indirect Ownership Interest Jan 15, 2023 22.21%
Mandola International Limited, LLC Organization, Honolulu, HI LLC 5% Or Greater Indirect Ownership Interest Mar 7, 2026 22.11%
Kai' Ohu Amg, Inc. Organization, Honolulu, HI Corporation 5% Or Greater Indirect Ownership Interest Jan 15, 2023 19.44%
Merit Gala Limited, Inc. Organization, Honolulu, HI Corporation 5% Or Greater Indirect Ownership Interest Mar 7, 2026 22.11%
Nobis Rehabilitation Partners, LLC Organization, Lucas, TX LLC Operational/Managerial Control Jan 15, 2023 100%
Shawn McCallum Individual W-2 Managing EmployeeAdministrator Jan 15, 2023
David Moore Individual 5% Or Greater Indirect Ownership Interest Jan 15, 2023 6.58%
Miu King Leung Individual 5% Or Greater Indirect Ownership Interest Mar 7, 2026 11.05%
Michael D Bennett Individual 5% Or Greater Indirect Ownership Interest Jan 15, 2023 19.44%
Shu Wing Leung Individual 5% Or Greater Indirect Ownership Interest Mar 7, 2026 11.05%
Chester W Crouch Individual Corporate OfficerPresident Jan 15, 2023
Reunion Hospital Holdings, LLC Organization, Dallas, TX Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 15, 2023 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 8

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": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1922723121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N GALLOWAY AVE STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13451 N 94TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815056",
            "telephone_number": "623-303-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REUNION REHABILITATION HOSPITAL PEORIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "KANN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "972-216-2299"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rehabilitation Hospital Peoria",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reunion Rehabilitation Hospital Peoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.