NPIMap

Organization Active NPI

Bethesda Hospital Inc.

Doing business as Cornell Institute for Rehabilitative Medicine

  • Rehabilitation Hospital
  • Boynton Beach, FL
National Provider Identifier
1023093234
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
4452 Issued in FL
Legal business name
BETHESDA HOSPITAL INC.
Doing business as
Cornell Institute for Rehabilitative Medicine
Practice address
2815 S Seacrest Blvd
Boynton Beach, FL 33435-7934
Phone
(561) 737-7733
Fax
(561) 737-4534
NPI assigned
Dec 9, 2005
Last updated
Apr 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BETHESDA HOSPITAL INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Jared Smith
Title
Ceo
Phone
(561) 737-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 4452 FL Primary

Addresses

Primary practice location

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7934

Mailing address

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7934
Phone (561) 737-7733

Other identifiers 1

IdentifierTypeStateIssuer
010140100MedicaidFL

Other names 1

  • Cornell Institute for Rehabilitative Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110222000034 FL Part A Provider - Hospital 9436134921 Practice locations: Boynton Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023093234. Details of each certification follow.

Hospital certification: CCN 10T002

Legal name
BETHESDA HOSPITAL INC.
Doing business as
CORNELL INSTITUTE FOR REHABILITATION MEDICINE
Organization structure
CorporationNon-profit
Incorporated
Jul 12, 2012 in FL
Enrollment address
2815 S Seacrest Blvd
Boynton Beach, FL 33435-7934
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Bethesda Memorial HospitalCCN 10T002 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 2024

National Provider Directory

National Provider Directory
Tax ID family
Bethesda ER Dept Phys5 organizations share this tax ID, including this one
Part of
Bethesda ER Dept Phys

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Barbara B Lucas Individual Corporate DirectorBoard Member Feb 28, 2023
Colleen Rhodd Individual Corporate DirectorBoard Member Jun 15, 2023
Jared Smith Individual W-2 Managing EmployeeCeo Feb 27, 2023
Steven Litinsky Individual Corporate DirectorBoard Member Sep 21, 2015
Michael McCarthy Individual Corporate DirectorBoard Member Feb 28, 2023
Allison Hollabaugh Ferris Individual Corporate DirectorBoard of Director Jul 1, 2023
Marie Y. Bedner Individual Corporate DirectorBoard Member Jan 23, 2013
John R Pasqual Individual Corporate DirectorBoard of Director Oct 1, 2023
David S Meinbach Individual Corporate Director Jul 1, 2021
George Thomas Elmore Individual Corporate DirectorBoard Member Oct 25, 2006
Roberta Stokes Individual Corporate DirectorBoard Member Oct 1, 2017
Matthew Arsenault Individual W-2 Managing Employee Oct 1, 2017
Calvin Babcock Individual Corporate DirectorBoard of Director Jan 26, 2023
Baptist Health South Florida Inc Organization, Coral Gables, FL Corporation, Non-profit Operational/Managerial Control Oct 1, 2017
Ian Jeffrey Pheterson Individual Corporate DirectorBoard Member Oct 1, 2002
Bethesda Health Inc Organization, Boynton Beach, FL Corporation, Non-profit Operational/Managerial Control Oct 1, 2005 100%

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bethesda Hospital Inc.Boynton Beach, FL, CCN 100002 Hospital Operational/Managerial Control Oct 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 1

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 10

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": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1023093234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357934",
            "telephone_number": "561-737-7733",
            "fax_number": "561-737-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357934",
            "telephone_number": "561-737-7733",
            "fax_number": "561-737-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA HOSPITAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BETHESDA  HOSPITAL INC.",
        "enumeration_date": "2005-12-09",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-737-7733"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "FL",
            "license": "4452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010140100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornell Institute for Rehabilitative Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cornell Institute for Rehabilitative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.