NPIMap

Organization Active NPI

Madonna Rehabilitation Hospital

  • Skilled Nursing Facility
  • Lincoln, NE
National Provider Identifier
1073605754
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
LTCH022 Issued in NE
Legal business name
MADONNA REHABILITATION HOSPITAL
Practice address
2200 S 52ND St
Lincoln, NE 68506-2030
Phone
(402) 413-3000
Fax
(402) 413-4113
NPI assigned
Sep 29, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Paul A. Dongilli Jr.
Title
President & Ceo
Phone
(402) 413-3000

Owners & managing parties with NPI records 1

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

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 5

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

Practitioners 99

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 99

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
St. Jane de ChantalCCN 285004
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
Active (Provider of Services file)
Certified beds
10378.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
28D2191523St Jane2200 South 52ND Street, Lincoln, NE 68506Certificate of waiverAug 27, 2026

Medicare participation

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

Skilled nursing facility certification: CCN 285004

Medicare enrollment files
Legal name
MADONNA REHABILITATION HOSPITAL
Doing business as
ST JANE DE CHANTAL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 1, 1967
Last certification
Sep 12, 2024
Beds
103
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
2200 S 52ND St
Lincoln, NE 68506-2030
Nursing home name
ST. JANE DE CHANTAL

All disclosed owners & managing parties 23

Medicare enrollment files

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

NameRoleSinceShare
Katherine C Lempka Individual Corporate DirectorBoard Member Sep 27, 2017
Patrick E Spethman Individual Corporate DirectorBoard Member Dec 12, 2018
Diocesan Health Ministries Organization, Lincoln, NE Non-profit Other Feb 2, 1996
Terence L Zach Individual Corporate DirectorBoard Member Jun 17, 2020
Adam Hayes Individual Corporate DirectorBoard Member Sep 27, 2024
Scott Cassels Individual Corporate DirectorBoard Member Sep 30, 2022
Bradley J Nietfeldt Individual Corporate DirectorBoard Member Sep 21, 2016
Phillip E Essay Individual Corporate DirectorBoard Member Sep 29, 2023
Nicholas Wilwerding Individual Corporate DirectorBoard Member Sep 30, 2022
Sarah Walker Individual Corporate DirectorBoard Member Sep 30, 2022
Daniel L Vokoun Individual Corporate DirectorBoard Member Oct 1, 2021
Gary a Perkins Individual Corporate DirectorBoard Member Sep 27, 2017
Paul a Dongilli Individual Corporate OfficerPresident Jan 16, 2016
Corporate DirectorPresident & Ceo Jan 16, 2016
W-2 Managing EmployeePresident & Ceo Jun 1, 2006
Operational/Managerial ControlPresident & Ceo Jun 1, 2006
Gregory G Vasek Individual Corporate DirectorBoard Member Sep 23, 2015
David E Gannon Individual Corporate OfficerVice Chairperson Sep 25, 2019
Corporate DirectorBoard Member Sep 27, 2017
Lauren K Pugliese Individual Corporate OfficerTreasurer Sep 25, 2019
Corporate DirectorBoard Member Sep 25, 2019
Maria Lighthall Individual Corporate DirectorBoard Member Ex Officio Sep 30, 2022
John Coffey Individual Corporate DirectorBoard Member Sep 29, 2023
Michael J Hedderman Individual W-2 Managing EmployeeVice President & Cfo Dec 11, 2019
Operational/Managerial ControlVice President & Cfo Dec 11, 2019
John R Sullivan Individual Corporate OfficerVice President Jul 1, 2013
Corporate DirectorBoard Member Jul 1, 2013
Heidi Doane Individual Corporate DirectorBoard Member Sep 29, 2023
William C Douglas Individual Corporate OfficerSecretary Jun 17, 2020
Corporate DirectorBoard Member Dec 12, 2018
Alexander McKiernan Individual Corporate DirectorBoard Member Sep 29, 2023

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20100921001084 NE Part a Provider - Skilled Nursing Facility 0446164081 Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory
Tax ID family
Madonna Rehabilitation Hospital (6 organizations share this tax ID)

Interoperability endpoints

  • FHIR API: https://fhir.madonna.org/R4/open-Prod

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X LTCH022 NE
Skilled Nursing Facility 314000000X LTCH022 NE Primary

Addresses

NPPES NPI Registry

Primary practice location

2200 S 52ND St
Lincoln, NE 68506-2030

Mailing address

5401 South St
Lincoln, NE 68506-2150
Phone (402) 413-3000

Other identifiers 6

NPPES NPI Registry
IdentifierTypeStateIssuer
0157020OtherSDMEDICAID
00210OtherNEBLUE CROSS
5000016OtherUNITEDHEALTHCARE
0605267OtherIAMEDICAID
112564800OtherWYMEDICAID
100187780AOtherKSMEDICAID

Other names 2

NPPES NPI Registry
  • St Jane de Chantal Long Term Care Services Doing business as
  • St. Jane de Chantal Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2019.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1073605754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062150",
            "telephone_number": "402-413-3000",
            "fax_number": "402-413-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S 52ND ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062030",
            "telephone_number": "402-413-3000",
            "fax_number": "402-413-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADONNA REHABILITATION HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "DONGILLI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "402-413-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NE",
            "license": "LTCH022",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "LTCH022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0157020",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00210",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "5000016",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0605267",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "112564800",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "100187780A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Jane de Chantal Long Term Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Jane de Chantal Long Term Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Jane de Chantal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.