Rehabilitation Hospital of Northern Arizona LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

REHABILITATION HOSPITAL OF NORTHERN ARIZONA LLC

Practice address

1851 N Gemini Dr
Flagstaff, AZ 86001-1607

Phone

(928) 774-7070

NPI assigned

Aug 22, 2017

Last updated

Nov 14, 2025By the provider in NPPES

Organization subpart

No

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 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316463276. Details of each certification follow.

• CCN 033041 Hospital · Active · Details

Hospital certification: CCN 033041

Legal name

REHABILITATION HOSPITAL OF NORTHERN ARIZONA LLC

Doing business as

REHABILITATION HOSPITAL OF NORTHERN ARIZONA

Certification status

Active

Provider type (POS)

Hospital – Rehabilitation

Participating since

Apr 12, 2018

Last certification

Apr 12, 2018

Beds

40

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Incorporated

Aug 5, 2015 in DE

Enrollment address

1851 N Gemini Dr
Arizona
Flagstaff, AZ 86001-1607
Main/Primary Hospital Location

Hospital subgroups

Rehabilitation

Listed as

Rehabilitation Hospital of Northern ArizonaCCN 033041 · All quality measures

Ownership

For profit

Certified

Apr 12, 2018

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

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

• Jon Ross Cook, PT

  • Specialist
  • Clarkdale, AZ
  • NPI 1730135567

  W-2 Managing Employee

  CMS ownership

Facilities with the same owner 41

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

• Mountain Valley Regional Rehabilitation Hospital Inc

  dba Mountain Valley Home for Health

  • Home Health Agency
  • Prescott Valley, AZ
  • NPI 1174904130

  Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

  CMS ownership
• Mountain Valley Regional Rehabilitation Hospital Inc

  • Rehabilitation Hospital
  • Prescott Valley, AZ
  • NPI 1245273853

  Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

  CMS ownership
• Advanced Care Hospital of Montana Inc

  • Long Term Care Hospital
  • Billings, MT
  • NPI 1356536312

  Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

  CMS ownership
• Advanced Care Hospital of Montana Inc

  dba Big Sky Rehabilitation Hospital

  • Rehabilitation Hospital
  • Billings, MT
  • NPI 1639991540

  Epoch Acquisition Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

  CMS ownership
• Advanced Care Hospital of Northern Colorado LLC

  dba Northern Colorado Long Term Acute Hospital

  • Long Term Care Hospital
  • Johnstown, CO
  • NPI 1598830267

  Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

  CMS ownership
• Advanced Care Hospital of Southern New Mexico LLC

  • Long Term Care Hospital
  • Las Cruces, NM
  • NPI 1083787345

  Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

  CMS ownership
• Alta Newport Hospital, LLC

  dba Foothill Regional Medical Center

  • Pediatric Skilled Nursing Facility
  • Tustin, CA
  • NPI 1689096406

  Medical Properties Trust, Inc.

  CMS ownership
• Bakersfield Rehabilitation Hospital, LLC

  dba Bakersfield Rehabilitation Hospital

  • Rehabilitation Hospital
  • Bakersfield, CA
  • NPI 1033780556

  Epoch Acquisition Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

  CMS ownership
• Bloomington Regional Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • Bloomington, IN
  • NPI 1770159022

  Epoch Acquisition Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

  CMS ownership
• Corpus Christi Rehabilitation Hospital LLC

  • Rehabilitation Hospital
  • Corpus Christi, TX
  • NPI 1821439183

  Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

  CMS ownership
• Covenant Rehabilitation Hospital of Lubbock LLC

  dba TrustPoint Rehabilitation Hospital of Lubbock

  • Rehabilitation Hospital
  • Lubbock, TX
  • NPI 1952784985

  Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

  CMS ownership
• Denver Regional Rehabilitation Hospital LLC

  dba Vibra Rehabilitation Hospital of Denver

  • Rehabilitation Hospital
  • Thornton, CO
  • NPI 1407375249

  Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

  CMS ownership

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.

• Jamal Abdul Yasser Balouch, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Great Falls, MT
  • NPI 1922254705
  NPD (past)

Affiliated clinicians 2

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

• Gerges E Makar, MBBCH

  • Hospitalist Physician
  • Anthem, AZ
  • NPI 1285955781

  Inpatient rehabilitation facility

  Care Compare affiliation
• Jamal Abdul Yasser Balouch, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Great Falls, MT
  • NPI 1922254705

  Inpatient rehabilitation facility

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1316463276",
    "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": "1851 N GEMINI DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011607",
            "telephone_number": "928-774-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION HOSPITAL OF NORTHERN ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "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": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393089",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPT OF HEALTH SERVICES",
            "identifier": "SH8743",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE JOINT COMMISION",
            "identifier": "616459",
            "state": null
        }
    ],
    "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": []
}

• Robert Joseph Reed, CRNA
• Sarah Lynn Reed, CRNA
• Thomas Matthew Reeve, MD
• Gail Reeves, LAC
• Sara M Reeves, FNP
• Janet Reich, RN
• William David Reid, R.T.
• Michael F Reidy, MD
• Sandra Nevills Reiff, LISAC
• Garrett Beau Reilly, PT

• Rehabilitation Hospital in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Rehabilitation Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.