Provider Type Icon

ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SHREVEPORT LLC NPI 1114517182


NPI Information

NPI: 1114517182
Provider Name: ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SHREVEPORT, LLC

Doing Business As: ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SHREVEPORT

Classification: Rehabilitation Hospital - 283X00000X
Entity Type: Organization

CLIA Number: 19D2217111

Address:
8650 MILLICENT WAY
SHREVEPORT, LA
ZIP 71115
Phone: (318) 642-8100
Get Directions

ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SHREVEPORT, LLC is a rehabilitation hospital in Shreveport, LA. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SHREVEPORT, LLC NPI is 1114517182. The provider is registered as an organization entity type.
The provider Is Doing Business As Encompass Health Rehabilitation Hospital Of Shreveport.

The provider's business location address is:

8650 MILLICENT WAY
SHREVEPORT, LA
ZIP 71115
Phone: (318) 642-8100
Fax: (318) 642-8495

The provider's authorized official is Robert M Wisner .
The authorized official title is Vice President and has the following contact phone number (205) 970-5702.

The CLIA number assigned to this NPI record is 19D2217111 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2021 and was last updated on 1/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283X00000XRehabilitation HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12700421MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.