Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rehabilitation Hospital, LLC

Organization Cardiac Rehabilitation Registered Nurse · NPI 1174021695

Rehabilitation Hospital, LLC is a Cardiac Rehabilitation Registered Nurse in Tyler, Texas. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

701 Olympic Plaza Cir
Tyler, TX 75701-1950
Phone: (903) 596-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Hospital (primary) Taxonomy 283X00000X
Cardiac Rehabilitation Registered Nurse Taxonomy 163WC3500X
Rehabilitation Clinic/Center Taxonomy 261QR0400X

Record details

NPI number1174021695
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAhs East Texas Health System LLC
Authorized official Stephen Petrovich — Evp · (615) 296-3000
NPI enumeratedJanuary 30, 2018
Last updated in NPPESOctober 1, 2023
Certification dateOctober 1, 2023
Mailing address340 Seven Springs Way Ste 100, Brentwood, TN 37027-5697

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