Provider Demographics
NPI:1851880306
Name:ENCOMPASS HEALTH PARTNERS
Entity Type:Organization
Organization Name:ENCOMPASS HEALTH PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANAL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:540-216-3393
Mailing Address - Street 1:50 SULLIVAN ST STE A
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-2737
Mailing Address - Country:US
Mailing Address - Phone:540-216-3393
Mailing Address - Fax:540-216-7301
Practice Address - Street 1:50 SULLIVAN ST STE A
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2737
Practice Address - Country:US
Practice Address - Phone:540-216-3393
Practice Address - Fax:540-216-7301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102203439207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty