NPIMap

Organization Active NPI

West Tennessee Rehabilitation Hospital, LLC

Doing business as West TN Health Rehab Hosp Cane Creek, a partner with Encompass Health

  • Rehabilitation Hospital
  • Martin, TN
National Provider Identifier
1134655731
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
WEST TENNESSEE REHABILITATION HOSPITAL, LLC
Doing business as
West TN Health Rehab Hosp Cane Creek, a partner with Encompass Health
Practice address
180 Mount Pelia Road
Martin, TN 38237
Phone
(731) 261-1200
Fax
(731) 587-6716
NPI assigned
May 3, 2017
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ENCOMPASS HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Mr. Robert McCallum
Title
Vice President
Phone
(205) 970-5669

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

180 Mount Pelia Road
Martin, TN 38237

Mailing address

9001 Liberty Parkway
Attn: Robert Wisner, SVP- Reimbursement
Birmingham, AL 35242-7509
Phone (205) 967-7116

Other names 1

  • West TN Health Rehab Hosp Cane Creek, a partner with Encompass Health Doing business as

Electronic endpoints 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170802002935 TN Part A Provider - Hospital 3274810189 Practice locations: Martin, TN
O20170908003319 TN Part A Provider - Hospital 3274810189 Practice locations: Martin, TN

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1134655731. Details of each certification follow.

Hospital certification: CCN 443030

Legal name
WEST TENNESSEE REHABILITATION HOSPITAL, LLC
Doing business as
WEST TENNESSEE HEALTHCARE REHABILITATION HOSPITAL CANE CREEK, A PARTNE
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Oct 9, 2001
Last certification
Jun 19, 2013
Beds
40
Ownership / control type
Private (for profit)
Most recent change of ownership
Jul 1, 2017 (1 total)
Organization structure
LLCProprietary
Enrollment address
180 Mount Pelia Rd
Martin, TN 38237-3812
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Hospital certification: CCN 44Y030

Legal name
WEST TENNESSEE REHABILITATION HOSPITAL, LLC
Doing business as
WEST TENNESSEE HEALTHCARE REHABILITATION HOSPITAL CANE CREEK, A PARTNE
Organization structure
LLCProprietary
Enrollment address
180 Mount Pelia Rd
Martin, TN 38237-3812
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved, Rehabilitation unit

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
West Tennessee Healthcare Rehabilitation HospitalCCN 443030 · All quality measures
Ownership
For profit
Certified
Oct 9, 2001
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Healthsouth Corp Dba HS

Interoperability endpoints

  • Direct secure messaging: cane_creek.patientinfo@dsm.encompasshealth.com

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 5% Or Greater Indirect Ownership Interest Jul 1, 2017 50%
5% Or Greater Indirect Ownership Interest Jul 1, 2017 100%
Carey B McRae Individual Corporate OfficerVice President Jan 1, 2025
Jackson Madison County General Hospital Organization, Jackson, TN Medical provider/supplier 5% Or Greater Direct Ownership Interest Jul 1, 2017 50%
Mark J Tarr Individual Operational/Managerial ControlPresident and Ceo of Cho Jan 1, 2017
Operational/Managerial ControlPresident/Ceo of Cho Jul 1, 2017
Vanguard Group Inc Organization, Malvern, PA Corporation, Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2024 10.1%
Encompass Health West Tennessee Holdings, LLC Organization, Birmingham, AL LLC, Holding company 5% Or Greater Direct Ownership Interest Jul 1, 2017 50%
Encompass Health Joint Ventures Holdings, LLC Organization, Birmingham, AL LLC, Holding company 5% Or Greater Indirect Ownership Interest Jul 1, 2017 50%
5% Or Greater Indirect Ownership Interest Jul 1, 2017 100%
Robert W McCallum Individual Corporate OfficerVice President Oct 15, 2024
Jonathan McAnulty Individual W-2 Managing EmployeeHospital Ceo Apr 30, 2020

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 183

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

View all 183

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1134655731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 LIBERTY PARKWAY",
            "address_2": "ATTN: ROBERT WISNER, SVP- REIMBURSEMENT",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427509",
            "telephone_number": "205-967-7116",
            "fax_number": "205-969-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MOUNT PELIA ROAD",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "38237",
            "telephone_number": "731-261-1200",
            "fax_number": "731-587-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TENNESSEE REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENCOMPASS HEALTH CORPORATION",
        "enumeration_date": "2017-05-03",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "MCCALLUM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "205-970-5669",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cane_creek.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": "180 Mount Pelia Road",
            "city": "Martin",
            "state": "TN",
            "country_code": "US",
            "postal_code": "38237",
            "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": "e-Solutions, 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": "West TN Health Rehab Hosp Cane Creek, a partner with Encompass Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martin, TN

Sources for this page

Verify at the official NPI Registry.