Healthcare Provider Details

I. General information

NPI: 1770490237
Provider Name (Legal Business Name): EXALT HEALTH REHABILITATION HOSPITAL TRINITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7963 PHOTONICS DRIVE
TRINITY FL
34655
US

IV. Provider business mailing address

2306 GUTHRIE RD STE 180
GARLAND TX
75043-5952
US

V. Phone/Fax

Practice location:
  • Phone: 656-265-8100
  • Fax: 656-265-8101
Mailing address:
  • Phone: 972-414-6062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: CHAD DEARDORFF
Title or Position: CFO
Credential:
Phone: 972-414-6062