Organization Active NPI

Eastern Iowa Rehabilitation Hospital, LLC

Doing business as Eastern Iowa Rehabilitation Hospital

  • Rehabilitation Hospital
  • Coralville, IA
National Provider Identifier
1215575394
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
EASTERN IOWA REHABILITATION HOSPITAL, LLC
Doing business as
Eastern Iowa Rehabilitation Hospital
Practice address
2801 Heartland Drive
Coralville, IA 52241
Phone
(319) 645-4001
NPI assigned
Dec 19, 2019
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

2801 Heartland Drive
Coralville, IA 52241

Mailing address

2801 Heartland Dr
Coralville, IA 52241-2733
Phone (319) 645-4001

Other names 1

  • Eastern Iowa Rehabilitation Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200217004161 IA Part A Provider - Hospital 6204263049 Practice locations: Coralville, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215575394. Details of each certification follow.

Hospital certification: CCN 163026

Legal name
EASTERN IOWA REHABILITATION HOSPITAL, LLC
Doing business as
EASTERN IOWA REHABILITATION HOSPITAL, LLC
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jun 22, 2020
Last certification
Jun 22, 2020
Beds
40
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
2801 Heartland Dr
Coralville, IA 52241-2733
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Eastern Iowa Rehabilitation Hospital LLCCCN 163026 · All quality measures
Ownership
For profit
Certified
Jun 22, 2020
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
16D2180791Eastern Iowa Rehabilitation Hospital, LLC2801 Heartland Drive, Coralville, IA 52241Certificate of waiverMar 18, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2801 Heartland Dr
Coralville, IA 52241
Phone (319) 645-4001

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Martin F. Mann Individual Corporate OfficerSr Vice President Strategic Develop Jul 23, 2024
Lifepoint Rehab Blocker LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
LPNT Development 7 LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 27, 2018 100%
CHC Management Services LLC Organization, Louisville, KY LLC, Management services company Operational/Managerial Control Jul 27, 2018
Lifepoint Rehab LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Robin Honomichl Individual W-2 Managing EmployeeFacility Ceo May 3, 2024
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Marcus B Poppell Individual OtherVice President Dec 23, 2021
Charlotte E Lawrence Individual Corporate OfficerSecretary Jul 23, 2024
Russell a Bailey Individual Corporate OfficerPresident Jul 23, 2024
John Michael Grooms Individual Corporate OfficerSVP and Treasurer Jul 23, 2024
Christopher J Monte Individual Corporate OfficerVice President Jul 23, 2024
Joseph a. Fuller Individual Corporate OfficerSVP and Cfo Jul 23, 2024
Lifepoint Rehab Blocker Parent LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%

Facilities with the same owner 70

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

View all 70

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": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1215575394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 HEARTLAND DR",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412733",
            "telephone_number": "319-645-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 HEARTLAND DRIVE",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "52241",
            "telephone_number": "319-645-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN IOWA REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7688"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Iowa Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.