Healthcare Provider Details

I. General information

NPI: 1720312127
Provider Name (Legal Business Name): ENCOMPASS HEALTH REHABILITATION HOSPITAL OF NORTHERN VIRGINIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2009
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24430 MILLSTREAM DRIVE
ALDIE VA
20105
US

IV. Provider business mailing address

9001 LIBERTY PKWY
BIRMINGHAM AL
35242-7509
US

V. Phone/Fax

Practice location:
  • Phone: 703-957-2000
  • Fax: 703-957-2389
Mailing address:
  • Phone: 205-967-7116
  • Fax: 205-969-6650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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