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NPI Code Detail

MEDICARE: ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TUSTIN, LLC

MEDICARE: ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TUSTIN, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283X00000XRehabilitation Hospital060000303CA

General Provider Information

NPI Number : 1043284706
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TUSTIN, LLC
Provider Business Mailing Address
First Line : 15120 KENSINGTON PARK DR
Second Line :
City : TUSTIN
State : CA
Zip : 92782-1801
Country : US
Telephone Number : 714-832-9200
Fax Number : 714-508-4550
Provider Business Practice Location Address
First Line : 15120 KENSINGTON PARK DR
Second Line :
City : TUSTIN
State : CA
Zip : 92782-1801
Country : US
Telephone Number : 714-832-9200
Fax Number : 714-508-4550
Authorized Official
Title or Position : VICE PRESIDENT
Name : CAREY BENNETT MCRAE
Credential :
Telephone Number : 205-970-3442
Provider Enumeration Date : 02/16/2006
Last Update Date : 03/23/2026

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