Madonna Rehabilitation Systems

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

H000125 Issued in NE

Legal business name

MADONNA REHABILITATION SYSTEMS

Doing business as

Madonna Rehabilitation Specialty Hospital

Practice address

2500 Bellevue Medical Center Dr
4TH Floor
Bellevue, NE 68123-1591

Phone

(402) 884-0006

NPI assigned

Jan 10, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Victor J. Witkowicz

Title

Senior Vice President & Cfo

Phone

(402) 413-4222

Specialties & licenses 1

Addresses

Other names 1

• Madonna Rehabilitation Specialty Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 280136

Legal name

MADONNA REHABILITATION SPECIALTY HOSPITAL

Certification status

Terminated Other: provider status change, Feb 28, 2015

Provider type (POS)

Hospital – Short-term

Participating since

Jul 25, 2014

Last certification

Jul 25, 2014

Beds

32

Ownership / control type

Private (not for profit)

Facility address

2500 Bellevue Medical Center Drive, 4TH Floor
Bellevue, NE 68123

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1336561323",
    "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": "402-413-4222",
            "fax_number": "402-413-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BELLEVUE MEDICAL CENTER DR",
            "address_2": "4TH FLOOR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231591",
            "telephone_number": "402-884-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADONNA REHABILITATION SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "WITKOWICZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "402-413-4222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NE",
            "license": "H000125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madonna Rehabilitation Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monique L Macklem, M.D.
• Cortney Austin Mactaggart, IBCLC
• Nicole Madden
• Rita M Madden, RN
• Belen Madera Rodriguez
• Javonte Marie Madsen
• Roxanne R Madsen
• Maggett Counseling LLC
• Carmen Magistro, PA-C
• Andile Mahlangeni-Byndon

• General Acute Care Hospital in Bellevue, NE
• Providers in Bellevue, NE by specialty
• General Acute Care Hospital in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.