Healthcare Provider Details

I. General information

NPI: 1801774906
Provider Name (Legal Business Name): HOOVER ELITE REHAB SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4902 VALLEYDALE RD STE 200
HOOVER AL
35242-4613
US

IV. Provider business mailing address

4902 VALLEYDALE RD STE 200
HOOVER AL
35242-4613
US

V. Phone/Fax

Practice location:
  • Phone: 334-799-5853
  • Fax:
Mailing address:
  • Phone: 205-639-1007
  • Fax: 205-639-1009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: PAMELA VAN ETTEN
Title or Position: DIR OF CREDENTIALING & ACCOUNTS PAY
Credential:
Phone: 334-799-5853