Healthcare Provider Details

I. General information

NPI: 1083482475
Provider Name (Legal Business Name): ENCOMPASS HEALTH REHABILITATION HOSPITAL OF JOHNSTON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2023
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2109 HARTFORD AVE
JOHNSTON RI
02919-3246
US

IV. Provider business mailing address

2109 HARTFORD AVE
JOHNSTON RI
02919-3246
US

V. Phone/Fax

Practice location:
  • Phone: 401-587-1000
  • Fax: 410-587-1395
Mailing address:
  • Phone: 401-587-1000
  • Fax: 401-587-1395

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 B MCRAE
Title or Position: VICE PRESIDENT
Credential:
Phone: 205-970-3442