Provider Demographics
NPI:1245870682
Name:ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SIOUX FALLS, LLC
Entity type:Organization
Organization Name:ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SIOUX FALLS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:BENNETT
Authorized Official - Last Name:MCRAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-970-3442
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:
Practice Address - Street 1:4700 W 69TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8757
Practice Address - Country:US
Practice Address - Phone:605-305-5600
Practice Address - Fax:605-305-5995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-14
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1245870682Medicaid
MN1245870682Medicaid
SD70411OtherSPECIALIZED HOSPITAL LICENSE
IA1245870682Medicaid