Provider Demographics
NPI: | 1215490842 |
---|---|
Name: | REHABILITATION HOSPITAL OF NORTH ALABAMA, LLC |
Entity type: | Organization |
Organization Name: | REHABILITATION HOSPITAL OF NORTH ALABAMA, LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | SENIOR 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: | 205-969-6650 |
Practice Address - Street 1: | 1490 HIGHWAY 72 E |
Practice Address - Street 2: | |
Practice Address - City: | HUNTSVILLE |
Practice Address - State: | AL |
Practice Address - Zip Code: | 35811-1508 |
Practice Address - Country: | US |
Practice Address - Phone: | 256-535-2300 |
Practice Address - Fax: | 256-428-2608 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | ENCOMPASS HEALTH CORPORATION |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2019-04-10 |
Last Update Date: | 2025-01-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 283X00000X | Hospitals | Rehabilitation Hospital |