NPIMap

Organization Active NPI

Madonna Rehabilitation Systems

Doing business as Madonna Rehabilitation Specialty Hospital Omaha

  • Long Term Care Hospital
  • Omaha, NE
National Provider Identifier
1427472273
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
H000129 Issued in NE
Legal business name
MADONNA REHABILITATION SYSTEMS
Doing business as
Madonna Rehabilitation Specialty Hospital Omaha
Practice address
17500 Burke St
Omaha, NE 68118-2244
Phone
(402) 401-3000
NPI assigned
Feb 14, 2014
Last updated
Jan 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Mr. Victor J. Witkowicz
Title
Executive Vice President & Cfo
Phone
(402) 413-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X H000129 NE Primary

Addresses

Primary practice location

17500 Burke St
Omaha, NE 68118-2244

Mailing address

5401 South St
Lincoln, NE 68506-2150
Phone (402) 413-4222

Other identifiers 3

IdentifierTypeStateIssuer
10026469000MedicaidNE
1427472273MedicaidIA
1427472273MedicaidMO

Other names 1

  • Madonna Rehabilitation Specialty Hospital Omaha Doing business as

National Provider Directory

National Provider Directory

Locations

2500 Bellevue Medical Center Dr
Fl 4
Bellevue, NE 68123
Phone (402) 401-3000

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1427472273",
    "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": "17500 BURKE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182244",
            "telephone_number": "402-401-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADONNA REHABILITATION SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "WITKOWICZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "402-413-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NE",
            "license": "H000129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026469000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427472273",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427472273",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madonna Rehabilitation Specialty Hospital Omaha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.