NPIMap

Organization Active NPI

Encompass Health Rehabilitation Hospital of Gulfport, LLC

Doing business as Encompass Health Rehab Hosp, a partner of Memorial Hosp at Gulfport

  • Rehabilitation Hospital
  • Gulfport, MS
National Provider Identifier
1699217729
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 GULFPORT, LLC
Doing business as
Encompass Health Rehab Hosp, a partner of Memorial Hosp at Gulfport
Practice address
4500 13TH St Ste 900
Gulfport, MS 39501-2515
Phone
(228) 822-6965
Fax
(228) 822-6999
NPI assigned
Nov 7, 2016
Last updated
Feb 4, 2025By the provider in NPPES
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
Senior Vice President
Phone
(205) 970-3442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X NU Primary

Addresses

Primary practice location

4500 13TH St Ste 900
Gulfport, MS 39501-2515

Mailing address

9001 Liberty Pkwy
Birmingham, AL 35242-7509
Phone (205) 967-7116

Other names 1

  • Encompass Health Rehab Hosp, a partner of Memorial Hosp at Gulfport Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gulfport.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 MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170223000492 MS Part A Provider - Hospital 3375827116 Practice locations: Gulfport, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699217729. Details of each certification follow.

Hospital certification: CCN 253027

Legal name
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF GULFPORT LLC
Doing business as
ENCOMPASS HEALTH REHABILITATION HOSPITAL, A PARTNER OF MEMORIAL HOSPIT
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
May 1, 2017
Last certification
May 1, 2017
Beds
33
Ownership / control type
Private (not for profit)
Organization structure
LLCProprietary
Incorporated
Nov 3, 2016 in DE
Enrollment address
4500 13TH St
Ste 900
Gulfport, MS 39501-2515
Other Hospital Practice Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Encompass Health Rehabilitation Hospital, PartnerCCN 253027 · All quality measures
Ownership
Non-profit
Certified
May 1, 2017
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
25D2125103Encompass Health Rehabilitation of Gulfport4500 13TH St, Ste 900, Gulfport, MS 39501Certificate of waiverJan 30, 2027

National Provider Directory

National Provider Directory
Part of
Healthsouth Home Med Eq

Member of 1

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

Interoperability endpoints

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

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Wellington Management Company, LLP Organization, Boston, MA Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2023 6.56%
Encompass Health Gulfport Holdings LLC Organization, Birmingham, AL Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Apr 1, 2017 80%
Encompass Health Corporation Organization, Birmingham, AL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2017 80%
Robert M Wisner Individual Corporate OfficerVice President Apr 2, 2017
Memorial Hospital at Gulfport Organization, Gulfport, MS Non-profit 5% Or Greater Indirect Ownership Interest Nov 18, 2016 20%
Blackrock Inc Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2023 7.28%
Douglas E Coltharp Individual Corporate OfficerPresident Apr 2, 2017
Mark J Tarr Individual Operational/Managerial ControlPresident & Ceo Chain Home Ofc Apr 1, 2017
Vanguard Group Inc Organization, Malvern, PA Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2023 8.08%
Memorial Properties Inc Organization, Gulfport, MS Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2017 20%
Encompass Health Joint Ventures Holdings, LLC Organization, Birmingham, AL LLC, Holding company 5% Or Greater Indirect Ownership Interest Apr 2, 2017 80%
Mark Lee Studdard Individual W-2 Managing EmployeeCeo of Hospital Jul 1, 2021

Owners & managing parties with NPI records 1

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

Facilities with the same owner 174

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

View all 174

Practitioners & affiliated clinicians

Practitioners 4

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 8

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": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1699217729",
    "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": "205-967-7116",
            "fax_number": "205-969-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 13TH ST STE 900",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012515",
            "telephone_number": "228-822-6965",
            "fax_number": "228-822-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOMPASS HEALTH REHABILITATION HOSPITAL OF GULFPORT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENCOMPASS HEALTH CORPORATION",
        "enumeration_date": "2016-11-07",
        "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": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "205-970-3442"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gulfport.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": "4500 13th St Ste 900",
            "city": "Gulfport",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395012515",
            "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 Rehab Hosp, a partner of Memorial Hosp at Gulfport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.