Organization Active NPI

Clearsky Rehabilitation Hospital of Rockwall County LLC

  • Rehabilitation Hospital
  • Heath, TX
National Provider Identifier
1104639558
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
CLEARSKY REHABILITATION HOSPITAL OF ROCKWALL COUNTY LLC
Practice address
25 Hope Dr
Heath, TX 75032-2057
Phone
(469) 361-2270
NPI assigned
Jan 29, 2025
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Kristi Duncan
Title
Cfo
Phone
(505) 317-3988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

25 Hope Dr
Heath, TX 75032-2057

Mailing address

5600 Wyoming Blvd NE Ste 225
Albuquerque, NM 87109-3136
Phone (303) 845-0223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250612001409 TX Part A Provider - Hospital 9931619491 Practice locations: Heath, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104639558. Details of each certification follow.

Hospital certification: CCN 743032

Legal name
CLEARSKY REHABILITATION HOSPITAL OF ROCKWALL COUNTY LLC
Doing business as
CLEARSKY REHABILITATION HOSPITAL ROCKWALL COUNTY LLC
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Oct 15, 2025
Last certification
Oct 15, 2025
Beds
36
Ownership / control type
Other
Organization structure
LLCProprietary
Enrollment address
25 Hope Dr
Heath, TX 75032-2057
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Clearsky Rehabilitation Hospital of Rockwall CountCCN 743032 · All quality measures
Ownership
Non-profit
Certified
Oct 15, 2025
Medicare certification status
ActiveFrom the Provider of Services file

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
45D2325355Clearsky Rehabilitation Hospital of25 Hope Drive, Heath, TX 75032Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Locations

25 Hope Dr
Heath, TX 75032
Phone (303) 845-0223

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
BW Clearsky Aiv IV C Corp Organization, New York, NY Corporation 5% Or Greater Indirect Ownership Interest Oct 30, 2023 9.45%
BW Clearsky Aiv IV Indirect Feeder LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Oct 30, 2023 9.45%
BW Aiv IV Direct Feeder LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Oct 30, 2023 35.21%
Peloton Clearsky Inc Organization, Greenwich, CT Corporation 5% Or Greater Indirect Ownership Interest Oct 30, 2023 44.66%
Kristi L Duncan Individual Corporate OfficerCfo Oct 30, 2023
Peloton Clearsky LLC Organization, Greenwich, CT LLC 5% Or Greater Indirect Ownership Interest Oct 30, 2023 22.33%
Peloton Equity II LP Organization, Greenwich, CT 5% Or Greater Indirect Ownership Interest Oct 30, 2023 22.33%
Claude Darby Brockette Individual Corporate OfficerCeo Oct 30, 2023
Sheryl H Gentile Individual Corporate OfficerVice President Oct 30, 2023
Clearsky Health Acquisition LLC Organization, Albuquerque, NM LLC, Chain home office 5% Or Greater Direct Ownership Interest Oct 30, 2023 100%
Leavitt Equity Partners II LP Organization, Salt Lake City, UT 5% Or Greater Indirect Ownership Interest Oct 30, 2023 5.95%
Michael J Warrington Individual Corporate OfficerPresident Oct 30, 2023
Jason Hudson Individual W-2 Managing EmployeeHospital Ceo Apr 14, 2025
Operational/Managerial ControlHospital Ceo Apr 14, 2025
Clearsky Health Intermediate LLC Organization, Albuquerque, NM LLC 5% Or Greater Indirect Ownership Interest Oct 30, 2023 100%
Clearsky Employee Holdings-a, LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Oct 30, 2023 4.74%
Charles Nathan Miller Individual Operational/Managerial ControlSVP Operations Oct 30, 2023
Clearsky Health Holdings LLC Organization, Albuquerque, NM LLC 5% Or Greater Indirect Ownership Interest Oct 30, 2023 100%
Theodore B Lundberg Individual Corporate OfficerVice President Oct 30, 2023
Jeremy Michael Kogler Individual Corporate OfficerVice President Oct 30, 2023
BW Clearsky Aiv IV LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Oct 30, 2023 44.66%

Facilities with the same owner 13

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

View all 13

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 1

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": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1104639558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 WYOMING BLVD NE STE 225",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093136",
            "telephone_number": "303-845-0223",
            "fax_number": "833-642-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOPE DR",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750322057",
            "telephone_number": "469-361-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARSKY REHABILITATION HOSPITAL OF ROCKWALL COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "505-317-3988"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heath, TX

Sources for this page

Verify at the official NPI Registry.