MADONNA REHABILITATION HOSPITAL (NPI# 1376991752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376991752 |
| Entity Type | Organization |
| Organization Name | MADONNA REHABILITATION HOSPITAL |
| Other Organization Name | MADONNA REHABILITATION HOSPITAL OMAHA |
| Practice Address |
17500 Burke St Omaha NE 68118-2244 |
| Mailing Address |
5401 South St Lincoln NE 68506-2150 |
| Practice Telephone | 4024013100 |
| Practice Fax Number | 4024015118 |
| Mailing Telephone | 4024133000 |
| Mailing Fax Number | 4024134113 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-10-10 |
| Authorized Official Name | PAUL A DONGILLI JR. (PRESIDENT & CEO) |
| Authorized Official Telephone | 4024133000 |
| Authorized Official Credential | PHD; FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Madonna Rehabilitation Hospital Omaha | 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 |
| 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 |
17500 BURKE ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68118-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346207347 | Heather Jane Dienstbier | Physical Therapist | 17500 Burke St, Omaha, NE 68118-2244 | 2006-04-26 |
| 1215534417 | Kaitlyn Marie Sassen | Speech-Language Pathologist | 17500 Burke St, Omaha, NE 68118-2244 | 2020-10-01 |
| 1013528165 | Brooke M Poppe | Occupational Therapist | 17500 Burke St, Omaha, NE 68118-2244 | 2020-08-12 |
| 1629694989 | Rachel Stonacek | Speech-Language Pathologist | 17500 Burke St, Omaha, NE 68118-2244 | 2020-06-23 |
| 1760023725 | Alison Downs | Counselor | 17500 Burke St, Omaha, NE 68118-2244 | 2019-10-01 |
| 1669020061 | Jenna Closter | Occupational Therapist | 17500 Burke St, Omaha, NE 68118-2244 | 2019-08-28 |
| 1760041958 | Manika Bhatti | Occupational Therapist | 17500 Burke St, Omaha, NE 68118-2244 | 2019-06-11 |
| 1154985265 | Tina Meier | Physical Therapist | 17500 Burke St, Omaha, NE 68118-2244 | 2019-04-24 |
| 1558924837 | Kara Morgan | Occupational Therapist | 17500 Burke St, Omaha, NE 68118-2244 | 2019-04-22 |
| 1235608878 | Lindsay Tiberi | Physical Therapist | 17500 Burke St, Omaha, NE 68118-2244 | 2018-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932644127 | Renal Care Group of The Midwest, Inc. | Clinic/Center | 15801 West Dodge Road, Omaha, NE 68118 | 2016-12-27 |
| 1982091583 | Andrew Siref | Student in an Organized Health Care Education/Training Program | 16622 Howard Cir, Omaha, NE 68118 | 2015-04-21 |
| 1942628839 | Deirdre Anne Stolmeier | Dermatology | 515 N 162nd Ave Ste 302, Omaha, NE 68118 | 2014-03-28 |
| 1457625782 | James Clark | Pharmacist | 16130 Parker St, Omaha, NE 68118 | 2012-03-05 |
| 1619102613 | Children's West Village Pointe - Diagnostic Services | Spec/Tech, Pathology | 110 North 175 Street, Children's West Village Pointe - Diagnostic Services, Omaha, NE 68118 | 2009-05-19 |
| 1033359732 | Children's Hospital | Pediatrics | 110 North 175 Street, Suite 1000, Children's Hospital - Urgent Care - West Village Pointe, Omaha, NE 68118 | 2009-02-20 |
| 1285802538 | Becker Chiropractic LLC | Chiropractor | 17785 Mason St, Suite 101, Omaha, NE 68118 | 2008-02-20 |
| 1598940611 | Dane Patrick Becker | Chiropractor | 17785 Mason St., Suite 101, Omaha, NE 68118 | 2008-01-08 |
| 1700951779 | Karoline S Anderson | Pediatrics | 16811 Burke Street, Ste 101, Omaha, NE 68118 | 2006-11-22 |
| 1154435691 | Scott M Debates | Dermatology | 515 N 162nd Avennue, Ste. 302, Omaha, NE 68118 | 2006-08-19 |
| Find all providers in zip 68118 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558458091 | Madonna Rehabilitation Hospital | Rehabilitation Hospital | 5401 South St, Lincoln, NE 68506-2150 | 2006-10-06 |
Please comment or provide details below to improve the information on MADONNA REHABILITATION HOSPITAL.
| 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.