Provider Demographics
NPI:1487848941
Name:MHS-CHC I LP
Entity Type:Organization
Organization Name:MHS-CHC I LP
Other - Org Name:METHODIST REHABILITATION HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HOSPITAL CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-708-8604
Mailing Address - Street 1:3020 WEST WHEATLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3537
Mailing Address - Country:US
Mailing Address - Phone:972-708-8604
Mailing Address - Fax:
Practice Address - Street 1:3020 WEST WHEATLAND ROAD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3537
Practice Address - Country:US
Practice Address - Phone:972-708-8604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX673031Medicare Oscar/Certification