MEDICARE: ENCOMPASS HEALTH REHABILITATION HOSPITAL OF KISSIMMEE, 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
1	283X00000X	Rehabilitation Hospital

General Provider Information

NPI Number	:	1154196004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENCOMPASS HEALTH REHABILITATION HOSPITAL OF KISSIMMEE, LLC

Provider Business Mailing Address
First Line	:	4950 CALYPSO CAY WAY
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-5520
Country	:	US
Telephone Number	:	321-286-3300
Fax Number	:	321-286-3695

Provider Business Practice Location Address
First Line	:	4950 CALYPSO CAY WAY
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-5520
Country	:	US
Telephone Number	:	321-286-3300
Fax Number	:	321-286-3695

Authorized Official
Title or Position	:	SENIOR VICE PRESIDENT
Name	:	CAREY BENNETT MCRAE
Credential	:
Telephone Number	:	205-970-3442

Provider Enumeration Date	:	11/21/2023
Last Update Date	:	01/17/2025

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