NPIMap

Organization Active NPI

Madonna Rehabilitation Hospital

Doing business as St Jane de Chantal Long Term Care Services

  • 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
Doing business as
St Jane de Chantal Long Term Care Services
St. Jane de Chantal
Practice address
2200 S 52ND St
Lincoln, NE 68506-2030
Phone
(402) 413-3000
Fax
(402) 413-4113
NPI assigned
Sep 29, 2006
Last updated
Sep 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

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

Specialties & licenses 2

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

Addresses

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 names 2

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100921001084 NE Part A Provider - Skilled Nursing Facility 0446164081 Practice locations: Lincoln, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073605754. Details of each certification follow.

Skilled nursing facility certification: CCN 285004

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

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
St. Jane de ChantalCCN 285004 · All quality measures
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
ActiveFrom the 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

National Provider Directory

National Provider Directory
Tax ID family
Rehabilitation Speciali6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Interoperability endpoints

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

Ownership & related parties

All disclosed owners & managing parties 23

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

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 3

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 5

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": "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": [],
    "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.