Sacred Heart Rehabilitation Institute, Inc.
Organization Active NPI Rehabilitation Hospital · Mequon, WI
NPI 1508920356 · NPPES record last updated Jul 8, 2026
Key facts
- NPI
- 1508920356
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital 283X00000X
- License
- 165 (WI)
- Legal business name
- SACRED HEART REHABILITATION INSTITUTE, INC.
- Practice address
- 13111 N Port Washington Rd FL 2
Mequon, WI 53097-2416 - Phone
- (414) 585-6884
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Susan Dwyer
- Title
- Cfo
- Phone
- (414) 465-3093
Owners & managing parties with NPI records 7
-
Mark T. Catherall, M.D.
-
Joseph P Regan, M.D.
-
Jerry Michael Suriano, D.O.
Facilities with the same owner 159
Practitioners 117
-
Linda Coughlin Jones, MA, CCC-SLP
-
Anju Adhikari, MD
-
Emily Becker, APRN
-
Sheila S Bhat, M.D.
-
Sandra A. Boerner, APNP
-
Karissa Bowman, NP
-
Kerry Ann Case, MD
-
Kathryn Ann Cesarz, APNP
-
Yao Chen, M.D.
-
Andrew Clithero, D.O.
-
Timothy R Enright, M.D.
-
Teresa A Gallo, APNP
-
Margaret Anne Germanotta, APNP
-
Laura L Grover, APNP
-
Callenda A Hacker, M.D.
-
Lindsay M Huffman, AG-ACNP
-
Emil D Hurst, MD
-
Ikechukwu Ibekwe, M.D, MPH
Affiliated clinicians 13
-
Michael Ansani, D.O.
-
Kathleen A. Baugrud, M.D.
-
Lindsay Biddick, AGACNP-BC
-
Ikechukwu Ibekwe, M.D, MPH
-
Linda Kiatoukaysy, M.D.
-
Marina L. Kropp, M.D.
-
Wesley Lafferty, MD
-
Peter D Leo, PHD
-
Merle R Orr, MD
-
Jordan M Alvia, MD
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Ascension Sacred Heart Rehabilitation Hospital
- Ownership
- Non-profit
- Certified
- Jul 1, 1984
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0904432 | Ascension Sacred Heart Rehabilitation Hospital | Certificate of waiver | Jan 20, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Hospital certification: CCN 523025
- Legal name
- SACRED HEART REHABILITATION INSTITUTE INC
- Doing business as
- ASCENSION SACRED HEART REHABILITATION HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Rehabilitation
- Participating since
- Jul 1, 1984
- Last certification
- Sep 23, 2003
- Beds
- 81
- Ownership / control type
- Church
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 8, 1955 in WI
- Enrollment address
- 13111 N Port Washington Rd
FL 2
Mequon, WI 53097-2416 - Hospital subgroups
- Rehabilitation
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph P Regan |
Corporate Director |
Jul 1, 2023 | |
| Matthew Mokrohisky |
Corporate Director |
Jan 1, 2024 | |
| Robert Vanhimbergen |
Corporate Director |
Jul 1, 2017 | |
| Mark Catherall |
Corporate Director |
Jan 1, 2024 | |
| Robin Barten |
W-2 Managing Employee |
Nov 1, 2024 | |
| Bhagath Siripurapu |
Corporate Director |
Jan 1, 2024 | |
| Jonathan H Berkoff |
Corporate Director |
Jul 1, 2023 | |
| Michael McCullough |
Corporate Officer |
Oct 21, 2024 | |
| W-2 Managing Employee | Oct 21, 2024 | ||
| Operational/Managerial Control |
Oct 21, 2024 | ||
| Stephanie Hietpas |
W-2 Managing Employee |
Nov 1, 2024 | |
| Rexanne R Braun |
W-2 Managing Employee |
Jul 1, 2019 | |
| Lynne Briggs |
Corporate Director |
Jul 1, 2017 | |
| Ascension Health |
Operational/Managerial Control | Nov 1, 1999 | |
| John Joyce |
Corporate Director |
Apr 26, 2022 | |
| W-2 Managing Employee |
Apr 26, 2022 | ||
| Operational/Managerial Control |
Apr 26, 2022 | ||
| Jerry Suriano |
Corporate Director |
Jan 1, 2024 | |
| Ascension Wisconsin, Inc |
Operational/Managerial Control | Jun 30, 2017 | 100% |
| Kaye-Eileen Willard |
Corporate Director |
Jan 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040202001121 | WI | Part a Provider - Hospital | 5890688113 | Practice locations: Milwaukee, WI; Mequon, WI; Glendale, WI |
National Provider Directory
Locations
2323 N Lake Dr
Fl 1
Milwaukee, WI 53211
Phone (414) 585-6120
6700 N Port Washington Rd
Milwaukee, WI 53217
Phone (414) 351-8850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | 165 | WI | Yes |
Addresses
Primary practice location
13111 N Port Washington Rd FL 2
Mequon, WI 53097-2416
Mailing address
PO Box 773446
Chicago, IL 60677-3446
Phone (262) 292-0400
Other practice location 1
2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-6884
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11020000 | Medicaid | WI |
Other names
- Ascension Sacred Heart Rehabilitation Hospital
Other providers in Mequon, WI
- Heather Marie Russell
- Susan Ryack
- Cathy E. Ryan
- Stephan B. Ryan
- Mikaella Sabinash
- Sacred Wandering / Sacred Path Practitioners
- Giovanna Safina
- Leena Saifuddin
- Sonia P Salazar
- Sofia Salerno
All providers in Mequon, WI · Rehabilitation Hospital in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.