NPIMap

Organization Active NPI

Community Health Network Rehabilitation Hospital West, LLC

  • Rehabilitation Hospital
  • Brownsburg, IN
National Provider Identifier
1548982002
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
COMMUNITY HEALTH NETWORK REHABILITATION HOSPITAL WEST, LLC
Practice address
8920 E 56TH St
Brownsburg, IN 46112-7073
Phone
(502) 596-7220
NPI assigned
Sep 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Catherine MiddletonNPI 1982021804
Title
Hospital Ceo
Phone
(463) 348-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

8920 E 56TH St
Brownsburg, IN 46112-7073

Mailing address

8920 E 56TH St
Brownsburg, IN 46112-7073

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230414001239 IN Part A Provider - Hospital 3971978446 Practice locations: Brownsburg, IN

Hospital certification: CCN 153050

Legal name
COMMUNITY HEALTH NETWORK REHABILITATION HOSPITAL WEST LLC
Doing business as
COMMUNITY REHABILITATION HOSPITAL WEST
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jun 9, 2023
Last certification
Jun 9, 2023
Beds
40
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Mar 12, 2020 in DE
Enrollment address
8920 E 56TH St
Brownsburg, IN 46112-7073
Main/Primary Hospital Location
Hospital subgroups
General, Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Community Rehabilitation Hospital WestCCN 153050
Ownership
For profit
Certified
Jun 9, 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
15D2278904Community Health Network Rehabilitation Hospital8920 E 56TH Street, Brownsburg, IN 46112Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Jason R Fahrlander Individual Corporate Director May 16, 2023
Catherine Middleton Individual Corporate OfficerChief Executive Officer May 16, 2023
W-2 Managing Employee May 16, 2023
Lifepoint Rehab Blocker LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 16, 2023 49%
Lifepoint Rehab LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 16, 2023 49%
James E Ransom Individual Corporate Director Jun 22, 2023
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest May 16, 2023 49%
Angela Dunst Individual Corporate Director May 16, 2023
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 16, 2023 49%
Marcus B Poppell Individual Operational/Managerial ControlChain Home Office Administrator May 16, 2023
David I Stark Individual Corporate Director May 16, 2023
LPNT Irf Development 53, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest May 16, 2023 49%
Community Health Network Inc Organization, Indianapolis, IN Corporation 5% Or Greater Direct Ownership Interest May 16, 2023 51%
Holly Millard Individual Corporate Director May 16, 2023
Lifepoint Rehab Blocker Parent LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 16, 2023 49%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 73

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

View all 73

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

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": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1548982002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 E 56TH ST",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 E 56TH ST",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127073",
            "telephone_number": "502-596-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH NETWORK REHABILITATION HOSPITAL WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "HOSPITAL CEO",
        "authorized_official_telephone_number": "463-348-7000"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

Verify at the official NPI Registry.