Healthcare Provider Details

I. General information

NPI: 1114962842
Provider Name (Legal Business Name): POST ACUTE MEDICAL AT LULING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MEMORIAL DR
LULING TX
78648-3213
US

IV. Provider business mailing address

1828 GOOD HOPE RD STE 102
ENOLA PA
17025-1203
US

V. Phone/Fax

Practice location:
  • Phone: 830-875-8400
  • Fax: 830-875-2080
Mailing address:
  • Phone: 717-731-9660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number000184
License Number StateTX

VIII. Authorized Official

Name: MR. ANTHONY F MISITANO
Title or Position: PRESIDENT
Credential:
Phone: 717-731-9660