Provider Demographics
NPI:1235114570
Name:ENCOMPASS HEALTH CARE INC
Entity Type:Organization
Organization Name:ENCOMPASS HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MANSFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-865-9005
Mailing Address - Street 1:108 WEST BROAD ST
Mailing Address - Street 2:
Mailing Address - City:ST PAULS
Mailing Address - State:NC
Mailing Address - Zip Code:28384
Mailing Address - Country:US
Mailing Address - Phone:910-865-9005
Mailing Address - Fax:910-865-9006
Practice Address - Street 1:108 WEST BROAD ST
Practice Address - Street 2:
Practice Address - City:ST PAULS
Practice Address - State:NC
Practice Address - Zip Code:28384
Practice Address - Country:US
Practice Address - Phone:910-865-9005
Practice Address - Fax:910-865-9006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7703917Medicaid
NC4988350001Medicare ID - Type Unspecified