Healthcare Provider Details
I. General information
NPI: 1306819008
Provider Name (Legal Business Name): ENCOMPASS HEALTH REHABILITATION HOSPITAL OF LARGO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/12/2006
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
901 CLEARWATER LARGO RD N
LARGO FL
33770-4126
US
IV. Provider business mailing address
9001 LIBERTY PKWY
BIRMINGHAM AL
35242-7509
US
V. Phone/Fax
- Phone: 727-586-2999
- Fax: 727-588-3404
- Phone: 205-967-7116
- Fax: 205-969-6650
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 283X00000X |
| Taxonomy | Rehabilitation Hospital |
| License Number | 4278 |
| License Number State | FL |
VIII. Authorized Official
Name:
CAREY
BENNETT
MCRAE
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 205-970-3442