Healthcare Provider Details

I. General information

NPI: 1720052954
Provider Name (Legal Business Name): ENCOMPASS HEALTH REHABILITATION INSTITUTE OF TUCSON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 N WYATT DR
TUCSON AZ
85712
US

IV. Provider business mailing address

2650 N WYATT DR
TUCSON AZ
85712-6106
US

V. Phone/Fax

Practice location:
  • Phone: 520-325-1300
  • Fax: 520-784-2387
Mailing address:
  • Phone: 520-325-1300
  • Fax: 520-784-2387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License NumberSH-0181
License Number StateAZ

VIII. Authorized Official

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