NPIMap

Organization Active NPI

Shannon Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • San Angelo, TX
National Provider Identifier
1306448899
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
SHANNON REHABILITATION HOSPITAL, LLC
Practice address
6046 Appaloosa Trail
San Angelo, TX 76901
Phone
(999) 999-9999
NPI assigned
Nov 10, 2020
Organization subpart
Yes
Parent organization
ENCOMPASS HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Carey Bennett McRae
Title
Sr. Vice President of the Manager
Phone
(205) 970-3442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

6046 Appaloosa Trail
San Angelo, TX 76901

Mailing address

9001 Liberty Pkwy
Birmingham, AL 35242-7509
Phone (059) 677-1162

Other names 1

  • Shannon Rehabilitation Hospital, an affiliate of Encompass Health Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other e-Solutions, Inc.
Direct Messaging Address san_angelo.patientinfo@dsm.encompasshealth.com Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210223001658 TX Part A Provider - Hospital 3779998836 Practice locations: San Angelo, TX

Hospital certification: CCN 673078

Legal name
SHANNON REHABILITATION HOSPITAL LLC
Doing business as
SHANNON REHABILITATION HOSPITAL, AN AFFILIATE OF ENCOMPASS HEALTH
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Apr 16, 2021
Last certification
Jan 19, 2024
Beds
40
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
6046 Appaloosa Trail
San Angelo, TX 76901-5274
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Shannon Rehabilitation Hospital, an Affiliate of ECCN 673078
Ownership
For profit
Certified
Apr 16, 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
45D2209827Shannon Rehabilitation Hospital6046 Appaloosa Trail, San Angelo, TX 76901Certificate of waiverJan 17, 2027

National Provider Directory

National Provider Directory
Part of
Healthsouth Rehabilitat

Interoperability endpoints

  • Direct secure messaging: san_angelo.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 Sep 26, 2019 51%
Carey B McRae Individual Operational/Managerial Control Jan 1, 2025
OtherSr. Vice President of the Manager Jan 1, 2025
Shannon Health System Organization, San Angelo, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 26, 2019 49%
Mark J Tarr Individual Operational/Managerial ControlPresident & Ceo of Chain Home Ofc Jan 1, 2017
Vanguard Group Inc Organization, Malvern, PA Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 5.15%
Encompass Health Joint Ventures Holdings, LLC Organization, Birmingham, AL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 26, 2019 51%
Robert W McCallum Individual Operational/Managerial Control Jan 1, 2025
OtherVice President of the Manager Jan 1, 2025
Encompass Health San Angelo Holdings, LLC Organization, Birmingham, AL Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 26, 2019 51%
Jacob a Truelove Individual W-2 Managing EmployeeHospital Ceo Dec 9, 2024

Facilities with the same owner 175

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

View all 175

Practitioners & affiliated clinicians

Practitioners 5

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

Affiliated clinicians 6

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": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1306448899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 LIBERTY PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427509",
            "telephone_number": "059-677-1162",
            "fax_number": "205-969-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6046 APPALOOSA TRAIL",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76901",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENCOMPASS HEALTH CORPORATION",
        "enumeration_date": "2020-11-10",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT OF THE MANAGER",
        "authorized_official_telephone_number": "205-970-3442"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "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"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "san_angelo.patientinfo@dsm.encompasshealth.com",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Health Information Exchange",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Exchange",
            "address_1": "6102 Appaloosa Trail",
            "city": "San Angelo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shannon Rehabilitation Hospital, an affiliate of Encompass Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shannon Rehabilitation Hospital, an affiliate of Encompass Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.