MADONNA REHABILITATION HOSPITAL (NPI# 1073605754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073605754 |
| Entity Type | Organization |
| Organization Name | MADONNA REHABILITATION HOSPITAL |
| Other Organization Name | ST JANE DE CHANTAL LONG TERM CARE SERVICES |
| Practice Address |
2200 S 52nd St Lincoln NE 68506-2030 |
| Mailing Address |
5401 South St Lincoln NE 68506-2150 |
| Practice Telephone | 4024133000 |
| Practice Fax Number | 4024134113 |
| Mailing Telephone | 4024133000 |
| Mailing Fax Number | 4024134113 |
| Enumeration Date | 2006-09-29 |
| 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 |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | LTCH022 | NE | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | LTCH022 | NE | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | MEDICAID | 0157020 | 01 |
| IA | MEDICAID | 0605267 | 01 |
| KS | MEDICAID | 100187780A | 01 |
| NE | BLUE CROSS | 00210 | 01 |
| WY | MEDICAID | 112564800 | 01 |
| UNITEDHEALTHCARE | 5000016 | 01 |
| Other Name | Type Code |
|---|---|
| St Jane de Chantal Long Term Care Services | Doing Business As Name - Organization |
| St. Jane de Chantal | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1558458091 | Madonna Rehabilitation Hospital | Rehabilitation Hospital | 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 |
2200 S 52ND ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-2030 |
| 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013434703 | Snf Lincoln Operating Company LLC | Skilled Nursing Facility | 5431 S 16th St, Lincoln, NE 68512-1206 | 2017-08-24 |
| 1518491976 | Hillcrest Firethorn, LLC | Skilled Nursing Facility | 8601 Firethorn Lane, Lincoln, NE 68520 | 2017-04-12 |
| 1710359161 | Bsl- Bn Commons Snf Operator LLC | Skilled Nursing Facility | 3 Harvest Cir, Lincoln, MA 01773-3214 | 2015-10-26 |
| 1437546033 | Tabitha Inc | Skilled Nursing Facility | 3355 Orwell St, Lincoln, NE 68516-6624 | 2015-04-21 |
| 1205226552 | Bonnilee Anne Tyrrell | Skilled Nursing Facility | 7208 Van Dorn St, Lincoln, NE 68506-3651 | 2015-01-26 |
| 1073902128 | Laci Harper | Skilled Nursing Facility | 4800 Lonewood Dr, Lincoln, NE 68516-1464 | 2015-01-13 |
| 1477965234 | Amanda Stamm | Skilled Nursing Facility | 6040 S 58th St Ste C, Lincoln, NE 68516-3695 | 2014-05-28 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| 1306174990 | Autumn Research | Skilled Nursing Facility | 5b S Commons, Lincoln, MA 01773-1114 | 2009-11-19 |
| 1740432517 | Kimberly Lizotte | Skilled Nursing Facility | 642 River Rd, Lincoln, RI 02865-1406 | 2008-10-10 |
| Find all providers in LINCOLN | ||||
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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.