Healthcare Provider Details

I. General information

NPI: 1205076528
Provider Name (Legal Business Name): ENCOMPASS HEALTH REHABILITATION HOSPITAL OF EAST VALLEY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2009
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5652 EAST BASELINE ROAD
MESA AZ
85206
US

IV. Provider business mailing address

5652 E BASELINE RD
MESA AZ
85206-4713
US

V. Phone/Fax

Practice location:
  • Phone: 480-567-0350
  • Fax: 480-567-0352
Mailing address:
  • Phone: 480-567-0350
  • Fax: 480-567-0352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CAREY BENNETT MCRAE
Title or Position: VICE PRESIDENT
Credential:
Phone: 205-970-3442