Organization Active NPI

Northern Colorado Rehabilitation Hospital Inc

  • Rehabilitation Hospital
  • Johnstown, CO
National Provider Identifier
1104813484
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
NORTHERN COLORADO REHABILITATION HOSPITAL INC
Practice address
4401 Union Street
Johnstown, CO 80534-2800
Phone
(970) 619-3400
Fax
(970) 278-9343
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Denise Kann
Title
Vice President and Secretary
Phone
(972) 216-2299

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X
Occupational Medicine Clinic/Center 261QX0100X
Rehabilitation Hospital 283X00000X 0591 CO
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

4401 Union Street
Johnstown, CO 80534-2800

Mailing address

1024 N Galloway Ave Ste 102
Mesquite, TX 75149-2434
Phone (972) 216-2299

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequesst_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050623001016 CO Part A Provider - Hospital 8628013232 Practice locations: Johnstown, CO

Hospital certification: CCN 063033

Legal name
NORTHERN COLORADO REHABILITATION HOSPITAL INC
Doing business as
NORTHERN COLORADO REHABILITATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Aug 24, 2005
Last certification
Aug 21, 2014
Beds
40
Ownership / control type
Private (not for profit)
Organization structure
CorporationProprietary
Incorporated
Aug 24, 2004 in CO
Enrollment address
4401 Union St
Johnstown, CO 80534-2800
Other Hospital Practice Location
Hospital subgroups
Rehabilitation

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
Northern Colorado Rehabilitation Hospital, IncCCN 063033
Ownership
Non-profit
Certified
Aug 24, 2005
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Northern Colorado Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Jacob S Socha Individual Corporate OfficerPresident Jun 1, 2023
One Equity Partners VII-B LP Organization, New York, NY For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 10, 2019 12.4%
Ernest Health, Inc Organization, Albuquerque, NM Corporation 5% Or Greater Direct Ownership Interest Aug 24, 2004 100%
Other Jan 14, 2004
Epoch Parent Inc Organization, New York, NY Created for acquisition, Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Oct 4, 2018 100%
One Equity Partners VII LP Organization, New York, NY For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 4, 2018 58%
Epoch Parent Holdings LLC Organization, New York, NY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 4, 2018 100%
MPT Hospital of Johnstown LLC Organization, Birmingham, AL LLC, Investment firm, For-profit 5% Or Greater Security Interest Dec 31, 2020 62.3%
Ernest Health Holdings LLC Organization, Mesquite, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 29, 2012 100%
Epoch Midco, Inc Organization, New York, NY Created for acquisition, Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Oct 4, 2018 100%
Alissa Gould Individual W-2 Managing EmployeeHospital Ceo Jun 24, 2024
Eudora Cannon Individual Corporate OfficerVice President Jun 1, 2023
OtherChain Home Office Administrator Jun 1, 2023
One Equity Partners VII-a LP Organization, New York, NY For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 10, 2019 29.7%
Caleb Reed Individual Corporate OfficerTreasurer Jun 1, 2023
Denise a Kann Individual Corporate OfficerVice President, Secretary Jun 1, 2023
Truist Bank Organization, Charlotte, NC Corporation, Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Security Interest Nov 1, 2025 37.7%
Epoch Acquisition Inc Organization, New York, NY Created for acquisition, Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Oct 4, 2018 100%
Amy Hansen Individual W-2 Managing EmployeeCoo Jun 16, 2022

Facilities with the same owner 40

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

View all 40

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 7

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": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1104813484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N GALLOWAY AVE STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492434",
            "telephone_number": "972-216-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 UNION STREET",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805342800",
            "telephone_number": "970-619-3400",
            "fax_number": "970-278-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COLORADO REHABILITATION HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "KANN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "972-216-2299"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "CO",
            "license": "0591",
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequesst_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMd eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnstown, CO

Sources for this page

Verify at the official NPI Registry.