Provider Demographics
NPI:1306819016
Name:ENCOMPASS HEALTH METHODIST REHABILITATION HOSPITAL, LP
Entity Type:Organization
Organization Name:ENCOMPASS HEALTH METHODIST REHABILITATION HOSPITAL, LP
Other - Org Name:ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MEMPHIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WISNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-970-5702
Mailing Address - Street 1:9001 LIBERTY PKWY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7509
Mailing Address - Country:US
Mailing Address - Phone:205-967-7116
Mailing Address - Fax:205-969-6650
Practice Address - Street 1:1282 UNION AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3414
Practice Address - Country:US
Practice Address - Phone:901-722-2000
Practice Address - Fax:901-729-5171
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENCOMPASS HEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-12
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000142283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
164089OtherUNITED HEALTHCARE
263632OtherAETNA
P9510OtherPRINCIPAL FINANCIAL
3172888OtherCIGNA
3209876OtherCIGNA
44302OtherDORAL TENNCARE
TN0443029Medicaid
3444OtherMEMPHIS MANAGED CARE
269623OtherUNITDE HEALTHCARE
3206900,OtherCIGNA
000176OtherGREAT WEST LIFE
118125OtherBETTER HEALTH TENCARE
197750OtherBLUE CROSS
30400OtherUNITED HEALTHCARE
3173616OtherCIGNA
408809OtherUNITED HEALTHCARE
MH0200OtherADMINSTRATIVE BENEFITS
TN0443029Medicaid