NPIMap

Organization Active NPI

Quillen Rehabilitation Hospital of Johnson City LLC

Doing business as Quillen Rehab Hosp, a JV of Ballad Health and Encompass Health

  • Rehabilitation Hospital
  • Johnson City, TN
National Provider Identifier
1609287937
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
QUILLEN REHABILITATION HOSPITAL OF JOHNSON CITY LLC
Doing business as
Quillen Rehab Hosp, a JV of Ballad Health and Encompass Health
Practice address
2511 Wesley St
Johnson City, TN 37601-1723
Phone
(999) 999-9999
NPI assigned
May 8, 2014
Last updated
Jan 21, 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 21, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X NU Primary

Addresses

Primary practice location

2511 Wesley St
Johnson City, TN 37601-1723

Mailing address

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

Other names 1

  • Quillen Rehab Hosp, a JV of Ballad Health and Encompass Health Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address quillen.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 TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140911000778 TN Part A Provider - Hospital 7911126628 Practice locations: Johnson City, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609287937. Details of each certification follow.

Hospital certification: CCN 443033

Legal name
QUILLEN REHABILITATION HOSPITAL OF JOHNSON CITY, LLC
Doing business as
QUILLEN REHABILITATION HOSPITAL, A JV OF BALLAD HEALTH AND ENCOMPASS
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Dec 16, 2014
Last certification
Dec 16, 2014
Beds
36
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
2511 Wesley Street
Johnson City, TN 37601-1723
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Quillen Rehabilitation Hospital, Ajv of Ballad HLTCCN 443033 · All quality measures
Ownership
For profit
Certified
Dec 16, 2014
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
44D0940076Quillen Rehabilitation Hospital of Johnson City2511 Wesley Street, Johnson City, TN 37601Certificate of waiverFeb 4, 2028

National Provider Directory

National Provider Directory
Part of
Encompass Health Corporation

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

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 30, 2014 50.1%
Operational/Managerial Control Sep 30, 2014
Carey B McRae Individual Corporate OfficerSenior Vice Pesident of the Manager Jan 1, 2025
Operational/Managerial ControlSenior Vice President of Manager Jan 1, 2025
Jonathan Robert Adams Individual W-2 Managing EmployeeHospital Ceo Mar 18, 2021
Mark J Tarr Individual Operational/Managerial ControlPresident and Ceo of Manager Jan 1, 2017
Vanguard Group Inc Organization, Malvern, PA Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2024 10.1%
Ballad Health Organization, Johnson City, TN Non-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2014 49.9%
Mountain States Health Alliance Organization, Johnson City, TN Non-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2014 49.9%
Encompass Health Joint Ventures Holdings, LLC Organization, Birmingham, AL Holding company 5% Or Greater Indirect Ownership Interest Sep 30, 2014 50.1%
Robert W McCallum Individual Corporate OfficerVice President of the Manager Oct 15, 2024
Operational/Managerial ControlVice President of Manager Oct 15, 2024
Encompass Health Johnson City Holdings LLC Organization, Birmingham, AL Holding company 5% Or Greater Direct Ownership Interest Sep 30, 2014 50.1%
Blue Ridge Medical Management Corporation Organization, Johnson City, TN Non-profit 5% Or Greater Direct Ownership Interest Sep 30, 2014 49.9%

Owners & managing parties with NPI records 23

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

View all 23

Facilities with the same owner 213

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

View all 213

Practitioners & affiliated clinicians

Practitioners 2

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 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": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1609287937",
    "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": "2511 WESLEY ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011723",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUILLEN REHABILITATION HOSPITAL OF JOHNSON CITY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENCOMPASS HEALTH CORPORATION",
        "enumeration_date": "2014-05-08",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "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"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "quillen.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": "2511 Wesley St",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376011723",
            "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": "Quillen Rehab Hosp, a JV of Ballad Health and Encompass Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.