MADONNA REHABILITATION HOSPITAL (NPI# 1558458091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558458091 |
| Entity Type | Organization |
| Organization Name | MADONNA REHABILITATION HOSPITAL |
| Other Organization Name | MADONNA REHABILITATION HOSPITAL LINCOLN |
| Practice Address |
5401 South St Lincoln NE 68506-2150 |
| Practice Telephone | 4024133000 |
| Practice Fax Number | 4024134113 |
| Mailing Telephone | 4024133000 |
| Mailing Fax Number | 4024134113 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | MR. PAUL A. DONGILLI JR. (PRESIDENT & CEO) |
| Authorized Official Telephone | 4024133000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | 500005 | NE | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | MEDICAID | 0220070 | 01 |
| KS | MEDICAID | 100187780A | 01 |
| MO | MEDICAID | 013628201 | 01 |
| NE | BLUE CROSS | 00228 | 01 |
| UNITEDHEALTHCARE | 5000016 | 01 | |
| IA | MEDICAID | 0933457 | 01 |
| WY | MEDICAID | 112564800 | 01 |
| SD | MEDICAID | 5560010 | 01 |
| Other Name | Type Code |
|---|---|
| Madonna Rehabilitation Hospital Lincoln | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073605754 | Madonna Rehabilitation Hospital | Nursing Facility/Intermediate Care Facility | 2200 S 52nd St, Lincoln, NE 68506-2030 | 2006-09-29 |
| 1790285005 | Madonna Rehabilitation Hospital | Long Term Care Hospital | 17500 Burke St, Omaha, NE 68118-2244 | 2018-02-14 |
| 1376991752 | Madonna Rehabilitation Hospital | Rehabilitation Hospital | 17500 Burke St, Omaha, NE 68118-2244 | 2016-05-26 |
| 1417045642 | Madonna Rehabilitation Hospital | Physical Medicine & Rehabilitation | 5401 South St, Lincoln, NE 68506-2150 | 2006-10-11 |
| 1104913649 | Madonna Rehabilitation Hospital | Durable Medical Equipment & Medical Supplies | 5401 South St, Lincoln, NE 68506-2150 | 2006-10-06 |
| 1467549907 | Madonna Rehabilitation Hospital | Pharmacy | 5401 South St, Lincoln, NE 68506-2150 | 2006-10-06 |
| 1538256078 | Madonna Rehabilitation Hospital | Long Term Care Hospital | 5401 South St, Lincoln, NE 68506-2150 | 2006-10-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MADONNA REHABILITATION HOSPITAL | 5401 South St, Lincoln, NE 68506-2150 |
| Iowa Business Entities | MADONNA REHABILITATION HOSPITAL | 5401 South St, Lincoln, NE 68506 |
| Street Address |
5401 SOUTH ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861487829 | Thomas Scott Stalder | Internal Medicine | 5401 South St, Lincoln, NE 68506-2150 | 2005-09-15 |
| 1750908851 | Brianna Marie Oropeza | Occupational Therapist | 5401 South St, Lincoln, NE 68506-2150 | 2020-07-06 |
| 1740807866 | Megan Rhea Smith | Speech-Language Pathologist | 5401 South St, Lincoln, NE 68506-2150 | 2020-07-06 |
| 1174142145 | Carmen Kay Hirsch | Physical Therapist | 5401 South St, Lincoln, NE 68506-2150 | 2020-04-10 |
| 1528697901 | Kindra Dockweiler | Occupational Therapist | 5401 South St, Lincoln, NE 68506-2150 | 2020-04-07 |
| 1407485816 | Kristen Leigh Mills | Occupational Therapist | 5401 South St, Lincoln, NE 68506-2150 | 2020-04-07 |
| 1669001186 | Whitney Santo | Occupational Therapist | 5401 South St, Lincoln, NE 68506-2150 | 2020-04-06 |
| 1528697042 | Katelyn Dupont | Occupational Therapist | 5401 South St, Lincoln, NE 68506-2150 | 2020-04-06 |
| 1477189231 | Danielle D'amore | Physical Therapist | 5401 South St, Lincoln, NE 68506-2150 | 2020-03-12 |
| 1669007498 | Janelle Kay Hansen | Physical Therapist | 5401 South St, Lincoln, NE 68506-2150 | 2020-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205384781 | Patrick Bess | Rehabilitation Hospital | 13934 Gold Circle, Omaha, NE 68144 | 2016-09-14 |
| 1376991752 | Madonna Rehabilitation Hospital | Rehabilitation Hospital | 17500 Burke St, Omaha, NE 68118-2244 | 2016-05-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.