Healthcare Provider Details

I. General information

NPI: 1669955720
Provider Name (Legal Business Name): ENCOMPASS PAHS REHABILITATION HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2018
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 W MINERAL AVE
LITTLETON CO
80120-4507
US

IV. Provider business mailing address

1001 W MINERAL AVE
LITTLETON CO
80120-4507
US

V. Phone/Fax

Practice location:
  • Phone: 303-334-1100
  • Fax: 303-334-1495
Mailing address:
  • Phone: 303-334-1100
  • Fax: 303-334-1495

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 OF THE MANAGER
Credential:
Phone: 205-970-3442