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Tri-Vista Rehab, Inc

NPI 1144577339ActiveOrganization· Assisted Living Facility· Tupelo, MS

Assisted Living Facility in Tupelo, Mississippi, registered in NPPES in August 2012. The authorized official on file is Kevin Troy Boutin, OTR, President.

Overview

NPI1144577339
StatusActive
Entity typeOrganization
NPI issuedAug 7, 2012
Last updated in NPPESSep 26, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000XPT4554MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Assisted Living Facility providers in Tupelo

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