Organization Active NPI

Clearsky Rehabilitation Hospital of Elwood St Joseph LLC

  • Rehabilitation Hospital
  • Elwood, KS
National Provider Identifier
1487300943
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
CLEARSKY REHABILITATION HOSPITAL OF ELWOOD ST JOSEPH LLC
Practice address
502 Roseport Rd
Elwood, KS 66024
Phone
(913) 348-4453
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Kristi Duncan
Title
Cfo
Phone
(505) 317-3988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

502 Roseport Rd
Elwood, KS 66024

Mailing address

5600 Wyoming Blvd NE Ste 225
Albuquerque, NM 87109-3136
Phone (303) 845-0223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221011000351 KS Part A Provider - Hospital 6507242872 Practice locations: Elwood, KS

Hospital certification: CCN 173035

Legal name
CLEARSKY REHABILITATION HOSPITAL OF ELWOOD ST JOSEPH LLC
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jan 19, 2023
Last certification
Jan 19, 2023
Beds
30
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
502 Roseport Rd
Elwood, KS 66024
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Clearsky Rehabilitation Hospital of Elwood St JosCCN 173035
Ownership
For profit
Certified
Jan 19, 2023
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
17D2276463Clearsky Rehabilitation Hospital of Elwood502 Roseport Road, Elwood, KS 66024Certificate of waiverFeb 8, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
BW Clearsky Aiv IV C Corp Organization, New York, NY Corporation 5% Or Greater Indirect Ownership Interest Nov 17, 2023 9.45%
BW Clearsky Aiv IV Indirect Feeder LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Nov 17, 2023 9.45%
BW Aiv IV Direct Feeder LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Nov 17, 2023 35.21%
Peloton Clearsky Inc Organization, Greenwich, CT Corporation 5% Or Greater Indirect Ownership Interest Nov 17, 2023 44.66%
Kristi L Duncan Individual Corporate Officer Sep 1, 2021
Peloton Clearsky LLC Organization, Greenwich, CT LLC 5% Or Greater Indirect Ownership Interest Nov 17, 2023 22.33%
Peloton Equity II LP Organization, Greenwich, CT 5% Or Greater Indirect Ownership Interest Nov 17, 2023 22.33%
Claude Darby Brockette Individual Corporate Officer Sep 1, 2021
Sheryl H Gentile Individual Corporate Officer Sep 1, 2021
Clearsky Health Acquisition LLC Organization, Albuquerque, NM LLC 5% Or Greater Direct Ownership Interest Sep 1, 2021 100%
Leavitt Equity Partners II LP Organization, Salt Lake City, UT 5% Or Greater Indirect Ownership Interest Nov 17, 2023 5.95%
Michael J Warrington Individual Corporate OfficerPresident Dec 2, 2024
Debra Hoffman Individual W-2 Managing EmployeeHospital Ceo Mar 10, 2025
Operational/Managerial ControlHospital Ceo Mar 10, 2025
Clearsky Health Intermediate LLC Organization, Albuquerque, NM LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2021 100%
Clearsky Employee Holdings-a, LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Nov 17, 2023 4.74%
Clearsky Health Holdings LLC Organization, Albuquerque, NM LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2021 100%
Theodore B Lundberg Individual Corporate Officer Sep 1, 2021
Jeremy Michael Kogler Individual Corporate Officer Sep 1, 2021
BW Clearsky Aiv IV LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Nov 17, 2023 44.66%

Facilities with the same owner 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 5

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

Affiliated clinicians 5

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": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1487300943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 WYOMING BLVD NE STE 225",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093136",
            "telephone_number": "303-845-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 ROSEPORT RD",
            "city": "ELWOOD",
            "state": "KS",
            "postal_code": "66024",
            "telephone_number": "913-348-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARSKY REHABILITATION HOSPITAL OF ELWOOD ST JOSEPH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "505-317-3988"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elwood, KS

Sources for this page

Verify at the official NPI Registry.