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

Tri-Vista Rehab, Inc

Organization Assisted Living Facility · NPI 1144577339

Tri-Vista Rehab, Inc is an Assisted Living Facility in Tupelo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.

Licensed in
MS
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

90A Clark Blvd
Tupelo, MS 38804-2801
Phone: (662) 840-0535
Fax: (662) 842-7915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence PT4554 (MS)

Record details

NPI number1144577339
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Boutin — President · (662) 840-0535
NPI enumeratedAugust 7, 2012
Last updated in NPPESSeptember 26, 2012
Mailing address90a Clark Blvd, Tupelo, MS 38804-2801

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