REUNION PLAZA HEALTHCARE & REHABILITATION
NPI 1629493028
Skilled Nursing Facility in Tyler, TX
NPI Status: Active since February 22, 2014
Contact Information
1401 RICE RD
TYLER, TX
ZIP 75703
Phone: (903) 561-6060
Fax: (903) 534-8045
- Organization
- Skilled Nursing Facility
- CLIA Number: 45D2075477
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-02-2027
About REUNION PLAZA HEALTHCARE & REHABILITATION
This page provides the complete NPI Profile along with additional information for Reunion Plaza Healthcare & Rehabilitation, a provider established in Tyler, Texas operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1629493028 assigned on February 2014. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Reunion Plaza Healthcare & Rehabilitation. The authorized official of this NPI record is Ronald Payne (Manager)
- NPI
- 1629493028
- Provider Legal Name
- SOUTHWEST LTC - REUNION PLAZA LLC
- Other Organization Name
- REUNION PLAZA HEALTHCARE & REHABILITATION
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1401 RICE RD TYLER, TX 75703
- Location Phone
- (903) 561-6060
- Location Fax
- (903) 534-8045
- Mailing Address
- 5560 TENNYSON PKWY STE 210 PLANO, TX 75024
- Mailing Phone
- (469) 916-6100
- Mailing Fax
- (903) 534-8045
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-22-2014
- Last Update Date
- 02-08-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 005461 | MEDICAID (05) | TX |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2075477
- Facility Type
- Physician Office
- Certificate Effective Date
- June 03, 2025
- Certificate Expiration Date
- June 02, 2027
- Laboratory Director
- ARASH I. ESMAILI
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Reunion Plaza Healthcare & Rehabilitation on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 2 | 9 | 4 | 9 | 3 | 0 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 8 | 9 | 6 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 8 + 9 + 6 + 0 + 4 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1629493028 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770649659 | HSMTX/REUNION PLAZA, LLC Organization | Skilled Nursing Facility | 1401 RICE RD TYLER, TX 75703 (903) 561-6060 |
| 1518232974 | EAST TEXAS LTC THE PLAZA AT RICE ROAD LLC Organization | Skilled Nursing Facility | 1401 RICE RD TYLER, TX 75703 (903) 561-6060 |
| 1841779139 | SCOTT CLIFFORD PRATT PT, DPT Individual | Physical Therapist | 1401 RICE RD TYLER, TX 75703 (903) 561-6060 |
| 1154800266 | DAVID EDWARD EVANS Individual | Physical Therapy Assistant | 1401 RICE RD TYLER, TX 75703 (903) 561-6060 |
| 1679052617 | KATY WEDGEWORTH Individual | Physical Therapy Assistant | 1401 RICE RD TYLER, TX 75703 (903) 561-6060 |
| 1487133393 | AMY CATHERINE ELLARD M.S., SLP-CFY Individual | Speech-Language Pathologist | 1401 RICE RD TYLER, TX 75703 (903) 561-6060 |
| 1306327804 | KIMBERLY JONES Individual | Occupational Therapy Assistant | 1401 RICE RD TYLER, TX 75703 (352) 382-1141 |
| 1467108837 | STEPHENS MEMORIAL HOSPITAL DISTRICT Organization | Skilled Nursing Facility | 1401 RICE RD TYLER, TX 75703 (903) 561-6060 |
| 1487702247 | MISS HOLLY PAIGE WEBSTER Individual | Physical Therapy Assistant | 1401 RICE RD TYLER, TX 75703 (903) 561-6060 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629493028, enumerated in the NPI registry as an "organization" on February 22, 2014
The provider is located at 1401 Rice Rd Tyler, Tx 75703 and the phone number is (903) 561-6060
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D2075477 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on February 22, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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