Organization Active NPI

Encompass Health Rehabilitation Hospital of Lakeland, LLC

Doing business as Encompass Health Rehabilitation Hospital of Lakeland

  • Rehabilitation Hospital
  • Lakeland, FL
National Provider Identifier
1265104244
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF LAKELAND, LLC
Doing business as
Encompass Health Rehabilitation Hospital of Lakeland
Practice address
1201 Oakbridge Pkwy
Lakeland, FL 33803-5945
Phone
(863) 279-1600
Fax
(863) 279-1995
NPI assigned
Sep 29, 2021
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ENCOMPASS HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

1201 Oakbridge Pkwy
Lakeland, FL 33803-5945

Mailing address

1201 Oakbridge Pkwy
Lakeland, FL 33803-5945
Phone (205) 967-7116

Other names 1

  • Encompass Health Rehabilitation Hospital of Lakeland Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lakeland.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 FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211213002626 FL Part A Provider - Hospital 9638569239 Practice locations: Lakeland, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265104244. Details of each certification follow.

Hospital certification: CCN 103050

Legal name
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF LAKELAND, LLC
Doing business as
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF LAKELAND
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
May 26, 2022
Last certification
May 26, 2022
Beds
50
Ownership / control type
Private (for profit)
Organization structure
LLC
Enrollment address
1201 Oakbridge Pkwy
Lakeland, FL 33803-5945
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Encompass Health Rehabilitation Hospital of LakelaCCN 103050 · All quality measures
Ownership
For profit
Certified
May 26, 2022
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
10D2252490Encompass Health Rehabilitation Hospital1201 Oakbridge Pkwy, Lakeland, FL 33803Certificate of waiverFeb 10, 2028

National Provider Directory

National Provider Directory
Part of
Healthsouth Corp Dba HS

Locations

1201 Oakbridge Pkwy
Lakeland, FL 33803
Phone (863) 279-1600

Interoperability endpoints

  • Direct secure messaging: lakeland.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, Management services company, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jun 12, 2020 100%
Operational/Managerial Control Jun 12, 2020
Carey B McRae Individual Operational/Managerial ControlAppointed Official/Vice President Jan 1, 2025
OtherVice President Jan 1, 2025
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, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 12, 2020 100%
Jonathan Matthew Shouse Individual W-2 Managing EmployeeHospital Ceo Feb 13, 2026
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
OtherVice 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

Affiliated clinicians 4

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": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1265104244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 OAKBRIDGE PKWY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035945",
            "telephone_number": "205-967-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 OAKBRIDGE PKWY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035945",
            "telephone_number": "863-279-1600",
            "fax_number": "863-279-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF LAKELAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENCOMPASS HEALTH CORPORATION",
        "enumeration_date": "2021-09-29",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "205-970-3442"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lakeland.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": "1201 Oakbridge Pkwy",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338035945",
            "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": "Encompass Health Rehabilitation Hospital of Lakeland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Encompass Health Rehabilitation Hospital of Lakeland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.