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Organization Active NPI

Madonna Rehabilitation Hospital

Doing business as Madonna Rehabilitation Hospital Lincoln

  • Rehabilitation Hospital
  • Lincoln, NE
National Provider Identifier
1558458091
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
500005 Issued in NE
Legal business name
MADONNA REHABILITATION HOSPITAL
Doing business as
Madonna Rehabilitation Hospital Lincoln
Practice address
5401 South St
Lincoln, NE 68506-2150
Phone
(402) 413-3000
Fax
(402) 413-4113
NPI assigned
Oct 6, 2006
Last updated
Sep 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Mr. Paul A. Dongilli Jr.
Title
President & Ceo
Phone
(402) 413-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 500005 NE Primary

Addresses

Primary practice location

5401 South St
Lincoln, NE 68506-2150

Mailing address

5401 South St
Lincoln, NE 68506-2150
Phone (402) 413-3000

Other identifiers 8

IdentifierTypeStateIssuer
013628201OtherMOMEDICAID
0933457OtherIAMEDICAID
112564800OtherWYMEDICAID
5560010OtherSDMEDICAID
00228OtherNEBLUE CROSS
5000016OtherUNITEDHEALTHCARE
0220070OtherSDMEDICAID
100187780AOtherKSMEDICAID

Other names 1

  • Madonna Rehabilitation Hospital Lincoln Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100921000654 NE Part A Provider - Hospital 0446164081 Practice locations: Lincoln, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558458091. Details of each certification follow.

Hospital certification: CCN 283025

Legal name
MADONNA REHABILITATION HOSPITAL
Doing business as
MADONNA REHABILITATION HOSPITAL LINCOLN
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jul 1, 1994
Last certification
Oct 23, 2023
Beds
67
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
5401 South St
Lincoln, NE 68506-2150
Other Hospital Practice Location
Hospital subgroups
Rehabilitation

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Madonna Rehabilitation Hospital LincolnCCN 283025 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Madonna HLTH Psychology S6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7111 Stephanie Ln
Lincoln, NE 68516
Phone (402) 420-0003

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Katherine C Lempka Individual Corporate DirectorBoard Member Sep 27, 2017
Patrick E Spethman Individual Corporate DirectorBoard Member Dec 12, 2018
Diocesan Health Ministries Organization, Lincoln, NE Non-profit Other Feb 2, 1996
Harris a Frankel Individual Corporate DirectorBoard Member Sep 26, 2025
Terence L Zach Individual Corporate OfficerVice Chairperson Sep 26, 2025
Corporate DirectorBoard Member Jun 17, 2020
Kenneth L Hopkins Individual Corporate Director Dec 11, 2024
W-2 Managing EmployeeVice President & Cfo Dec 11, 2024
Operational/Managerial ControlVice President & Cfo Dec 11, 2024
Richard Priore Individual Corporate DirectorBoard Member Sep 26, 2025
Adam Hayes Individual Corporate OfficerBoard Member Sep 27, 2024
Scott Cassels Individual Corporate DirectorBoard Member Sep 30, 2022
Phillip E Essay Individual Corporate DirectorBoard Member Sep 29, 2023
Nicholas Wilwerding Individual Corporate OfficerTreasurer Sep 26, 2025
Corporate DirectorBoard Member Sep 30, 2022
Sarah Walker Individual Corporate DirectorBoard Member Sep 30, 2022
Daniel L Vokoun Individual Corporate OfficerChairperson Sep 26, 2025
Corporate DirectorBoard Member Oct 1, 2021
Gary a Perkins Individual Corporate DirectorBoard Member Sep 27, 2017
Paul a Dongilli Individual Corporate OfficerPresident Jan 16, 2016
Corporate DirectorPresident & Ceo Jan 16, 2016
W-2 Managing EmployeePresident & Ceo Jun 1, 2006
Operational/Managerial ControlPresident & Ceo Jun 1, 2006
Gregory G Vasek Individual Corporate DirectorBoard Member Sep 23, 2015
David E Gannon Individual Corporate DirectorBoard Member Sep 27, 2017
Lauren K Pugliese Individual Corporate DirectorBoard Member Sep 25, 2019
John Coffey Individual Corporate DirectorBoard Member Sep 29, 2023
John R Sullivan Individual Corporate OfficerVice President Jul 1, 2013
Corporate DirectorBoard Member Jul 1, 2013
Heidi Doane Individual Corporate OfficerSecretary Sep 26, 2025
Corporate DirectorBoard Member Sep 29, 2023
Alexander McKiernan Individual Corporate DirectorBoard Member Sep 29, 2023

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

Affiliated clinicians 183

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

View all 183

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1558458091",
    "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": "402-413-3000",
            "fax_number": "402-413-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062150",
            "telephone_number": "402-413-3000",
            "fax_number": "402-413-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADONNA REHABILITATION HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "DONGILLI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "402-413-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NE",
            "license": "500005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "013628201",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0933457",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "112564800",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "5560010",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00228",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "5000016",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0220070",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "100187780A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madonna Rehabilitation Hospital Lincoln",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madonna Rehabilitation Hospital Lincoln",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.