Provider Demographics
NPI:1962293175
Name:ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ST. PETERSBURG, LLC
Entity type:Organization
Organization Name:ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ST. PETERSBURG, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:B
Authorized Official - Last Name:MCRAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-970-3442
Mailing Address - Street 1:1000 TYRONE BLVD N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-6309
Mailing Address - Country:US
Mailing Address - Phone:205-967-7116
Mailing Address - Fax:
Practice Address - Street 1:1000 TYRONE BLVD N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-6309
Practice Address - Country:US
Practice Address - Phone:205-967-7116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENCOMPASS HEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital