MEDICARE: ENCOMPASS HEALTH REHABILITATION HOSPITAL OF DAYTONA BEACH, 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	:	1336955459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENCOMPASS HEALTH REHABILITATION HOSPITAL OF DAYTONA BEACH, LLC

Provider Business Mailing Address
First Line	:	1952 N WILLIAMSON BLVD
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5261
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1952 N WILLIAMSON BLVD
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5261
Country	:	US
Telephone Number	:	386-363-2000
Fax Number	:	386-363-2395

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

Provider Enumeration Date	:	12/04/2024
Last Update Date	:	03/18/2025

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