Clearsky Rehabilitation Hospital of Lecanto, LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

CLEARSKY REHABILITATION HOSPITAL OF LECANTO, LLC

Practice address

3967 W Norvell Bryant Hwy
Lecanto, FL 34461

Phone

(352) 835-0819

NPI assigned

Jul 28, 2022

Last updated

Sep 14, 2022By 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

Kristi Duncan

Title

Cfo

Phone

(505) 317-3988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487380796. Details of each certification follow.

• CCN 103061 Hospital · Active · Details

Hospital certification: CCN 103061

Legal name

CLEARSKY REHABILITATION HOSPITAL OF LECANTO, LLC

Certification status

Active

Provider type (POS)

Hospital – Rehabilitation

Participating since

Nov 14, 2023

Last certification

Nov 14, 2023

Beds

36

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Incorporated

Feb 10, 2022 in DE

Enrollment address

3967 W Norvell Bryant Hwy
Lecanto, FL 34461-9661
Main/Primary Hospital Location

Hospital subgroups

Rehabilitation

Listed as

Clearsky Rehabilitation Hospital of LecantoCCN 103061 · All quality measures

Ownership

For profit

Certified

Nov 14, 2023

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 19

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

Facilities with the same owner 13

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

• Clearsky Rehabilitation Hospital of Lake City LLC

  • Rehabilitation Hospital
  • Lake City, FL
  • NPI 1053131623

  BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC

  CMS ownership
• Clearsky Rehabilitation Hospital Lakeshore LLC

  • Rehabilitation Hospital
  • Cleveland, WI
  • NPI 1164242731

  BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC

  CMS ownership
• Clearsky Rehabilitation Hospital of Baytown LLC

  • Rehabilitation Hospital
  • Baytown, TX
  • NPI 1487335360

  BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC

  CMS ownership
• Clearsky Rehabilitation Hospital of Elwood St Joseph LLC

  • Rehabilitation Hospital
  • Elwood, KS
  • NPI 1487300943

  BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC

  CMS ownership
• Clearsky Rehabilitation Hospital of Flower Mound LLC

  • Rehabilitation Hospital
  • Flower Mound, TX
  • NPI 1407467855

  BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC

  CMS ownership
• Clearsky Rehabilitation Hospital of Harker Heights, LLC

  • Rehabilitation Hospital
  • Harker Heights, TX
  • NPI 1770219081

  BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC

  CMS ownership
• Clearsky Rehabilitation Hospital of Kenosha LLC

  • Rehabilitation Hospital
  • Kenosha, WI
  • NPI 1760104889

  BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC

  CMS ownership
• Clearsky Rehabilitation Hospital of Lancaster, LLC

  • Rehabilitation Hospital
  • Lancaster, OH
  • NPI 1083487169

  BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC

  CMS ownership
• Clearsky Rehabilitation Hospital of Mansfield, LLC

  • Rehabilitation Hospital
  • Mansfield, TX
  • NPI 1013665124

  BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC

  CMS ownership
• Clearsky Rehabilitation Hospital of Rio Rancho LLC

  • Rehabilitation Hospital
  • Rio Rancho, NM
  • NPI 1093341810

  BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC

  CMS ownership
• Clearsky Rehabilitation Hospital of Rockwall County LLC

  • Rehabilitation Hospital
  • Heath, TX
  • NPI 1104639558

  BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC

  CMS ownership
• Clearsky Rehabilitation Hospital of West Valley, LLC

  dba ClearSky Rehabilitation Hospital of Avondale

  • Rehabilitation Hospital
  • Avondale, AZ
  • NPI 1063168243

  BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC

  CMS ownership

Affiliated clinicians 2

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

• Marcelo Alves Farias II

  • General Practice Physician
  • Plantation, FL
  • NPI 1114546108

  Inpatient rehabilitation facility

  Care Compare affiliation
• Nelson Mane, MD, DC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1568520971

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1487380796",
    "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": "505-317-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3967 W NORVELL BRYANT HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "34461",
            "telephone_number": "352-835-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARSKY REHABILITATION HOSPITAL OF LECANTO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "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": []
}

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• Citrus Podiatry Center PA
• Citrus Urology Center, Inc. (Lecanto Surgery Center)
• Anita Clark, PTA
• Cognisleep LLC
• Margaret Anne Collins, MD
• Suzanne H Collins, LCSW
• Comfortable Care Dental Health Professionals, P.a. (Summit View Dental Care)
• Comfortable Care Dental Health Professionals, P.a. (Advanced Dentistry of Citrus County)

• Rehabilitation Hospital in Lecanto, FL
• Providers in Lecanto, FL by specialty
• Rehabilitation Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.