NPI Code Details Logo

NPI 1487628616

NPI 1487628616 : ENCOMPASS HEALTH DEACONESS REHABILITATION HOSPITAL, LLC : NEWBURGH, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1487628616
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ENCOMPASS HEALTH DEACONESS REHABILITATION HOSPITAL, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/14/2006
-----------------------------------------------------
    Last Update Date     |    11/20/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9355 WARRICK TRL 
-----------------------------------------------------
    City                 |    NEWBURGH
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47630-0015
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    812-476-9983
-----------------------------------------------------
    Fax                  |    812-476-4270
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    9001 LIBERTY PARKWAY 
-----------------------------------------------------
    City                 |    BIRMINGHAM
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    35242
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    205-967-7116
-----------------------------------------------------
    Fax                  |    205-969-6650
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VICE PRESIDENT
-----------------------------------------------------
    Name                 |    MR. ROBERT  MCCALLUM 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    205-970-5669
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    283X00000X
-----------------------------------------------------
    Taxonomy Name        |    Rehabilitation Hospital
-----------------------------------------------------
    License Number       |    4618
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.