Ellis Rehabilitation Services, Inc.

LBN: Ellis Rehabilitation Services, Inc.
Ellis Rehabilitation Services, Inc. is an health care organization with primary practice located at 5609 Donnybrook Ave , Tyler TX 75703-6111. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Ellis Rehabilitation Services, Inc. can be contacted via phone (903) 561-2808, or through Ellis, David via phone (903) 675-0000.

Contact Information

Primary practice address
5609 Donnybrook Ave Tyler TX 75703-6111
Phone: (903) 561-2808
Fax: (903) 939-1812
Website:
Map and Directions
Authorized official contact:
Name: Ellis, David Physical Therapist (PT)
Phone: (903) 675-0000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1245240365
LBN Legal business name Ellis Rehabilitation Services, Inc.
DBA Doing business as
Authorized official Ellis, David Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2006
Last updated Feb 9th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245240365 NPPES
Texas Other 0094BG BCBS
Texas MEDICAID 110019002 BCBS
Texas Other 122300 BCBS
Texas MEDICAID 110019004 BCBS

Popular Providers