Provider Demographics
NPI:1215060231
Name:ENCOMPASS HEALTHCARE INC
Entity type:Organization
Organization Name:ENCOMPASS HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-865-9005
Mailing Address - Street 1:108 WEST BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:SAINT PAULS
Mailing Address - State:NC
Mailing Address - Zip Code:28384-1618
Mailing Address - Country:US
Mailing Address - Phone:910-865-9005
Mailing Address - Fax:910-865-9006
Practice Address - Street 1:108 WEST BROAD STREET
Practice Address - Street 2:ENCOMPASS HEALTHCARE INC
Practice Address - City:SAINT PAULS
Practice Address - State:NC
Practice Address - Zip Code:28384-1618
Practice Address - Country:US
Practice Address - Phone:910-865-9005
Practice Address - Fax:910-865-9006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC332B00000X332B00000X
NC335E00000X335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7703917Medicaid
NC7795257Medicaid