NPIMap

Organization Active NPI

Encompass Health Rehabilitation Hospital of Shreveport, LLC

  • Rehabilitation Hospital
  • Shreveport, LA
National Provider Identifier
1114517182
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SHREVEPORT, LLC
Practice address
8650 Millicent Way
Shreveport, LA 71115
Phone
(318) 642-8100
Fax
(318) 642-8495
NPI assigned
Jan 22, 2021
Organization subpart
Yes
Parent organization
ENCOMPASS HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carey Bennett McRae
Title
Vice President
Phone
(205) 970-3442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

8650 Millicent Way
Shreveport, LA 71115

Mailing address

8650 Millicent Way
Shreveport, LA 71115
Phone (318) 642-8100

Other identifiers 1

IdentifierTypeStateIssuer
2700421MedicaidLA

Other names 1

  • Encompass Health Rehabilitation Hospital of Shreveport Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address shreveport.patientinfo@dsm.encompasshealth.com Health Information Exchange (HIE)
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210601000967 LA Part A Provider - Hospital 2264831973 Practice locations: Shreveport, LA

Hospital certification: CCN 713028

Legal name
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SHREVEPORT, LLC
Doing business as
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SHREVEPORT
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Aug 20, 2021
Last certification
Aug 9, 2024
Beds
40
Ownership / control type
Private (for profit)
Organization structure
LLC
Incorporated
Feb 18, 2020 in DE
Enrollment address
8650 Millicent Way
Shreveport, LA 71115-2228
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Encompass Health Rehabilitation Hospital of ShreveCCN 713028
Ownership
For profit
Certified
Aug 20, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2217111Encompass Health Rehabilitation Hospital8650 Millicent Way, Shreveport, LA 71115Certificate of waiverMar 17, 2027

National Provider Directory

National Provider Directory
Part of
Healthsouth Rehabilitat

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Encompass Health Corporation Organization, Birmingham, AL Corporation, Management services company, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Feb 18, 2020 100%
Operational/Managerial Control Feb 18, 2020
Carey B McRae Individual Operational/Managerial ControlAppointed Official/Vice President Jan 1, 2025
OtherAppointed Official/Vice President Jan 1, 2025
Christopher Robert Phillips Individual W-2 Managing EmployeeHospital Ceo Jan 22, 2024
Blackrock Inc Organization, New York, NY Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 9.1%
Mark J Tarr Individual Operational/Managerial ControlPresident & Ceo of MGR Jan 1, 2017
Encompass Health Owned Hospitals Holdings LLC Organization, Birmingham, AL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Feb 18, 2020 100%
Vanguard Group Inc Organization, Malvern, PA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 10.1%
Robert W McCallum Individual Operational/Managerial ControlAppointed Official/Vice President Jan 1, 2025
OtherAppointed Official/Vice President Jan 1, 2025
Truist Bank Organization, Charlotte, NC Financial institution 5% Or Greater Security Interest Mar 9, 2026 100%

Facilities with the same owner 172

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 172

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1114517182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 MILLICENT WAY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71115",
            "telephone_number": "318-642-8100",
            "fax_number": "318-642-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 MILLICENT WAY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71115",
            "telephone_number": "318-642-8100",
            "fax_number": "318-642-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SHREVEPORT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENCOMPASS HEALTH CORPORATION",
        "enumeration_date": "2021-01-22",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "205-970-3442"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2700421",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shreveport.patientinfo@dsm.encompasshealth.com",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Exchange",
            "address_1": "8650 MILLICENT WAY",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "71115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Encompass Health Rehabilitation Hospital of Shreveport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Encompass Health Rehabilitation Hospital of Shreveport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.