NPIMap

Organization Active NPI

Rehabilitation Hospital of Northern Indiana, LLC

  • Rehabilitation Hospital
  • Mishawaka, IN
National Provider Identifier
1639719602
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
REHABILITATION HOSPITAL OF NORTHERN INDIANA, LLC
Practice address
4807 Edison Lakes Parkway
Mishawaka, IN 46545-1112
Phone
(574) 243-7727
Fax
(574) 243-7728
NPI assigned
Jan 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Denise Kann
Title
Vice President and Secretary
Phone
(972) 216-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

4807 Edison Lakes Parkway
Mishawaka, IN 46545-1112

Mailing address

1024 N Galloway Ave Ste 102
Mesquite, TX 75149-2434
Phone (972) 216-2299

Other names 1

  • Rehabilitation Hospital of Northern Indiana Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequesst_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200116001967 IN Part A Provider - Hospital 3971938192 Practice locations: Mishawaka, IN

Hospital certification: CCN 153047

Legal name
REHABILITATION HOSPITAL OF NORTHERN INDIANA, LLC
Doing business as
REHABILITATION HOSPITAL OF NORTHERN INDIANA
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
May 28, 2020
Last certification
May 28, 2020
Beds
40
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
4807 Edison Lakes Pkwy
Mishawaka, IN 46545-1112
Other Hospital Practice Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Rehabilitation Hospital of Northern Indiana, LLCCCN 153047
Ownership
For profit
Certified
May 28, 2020
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
15D2178335Rehabilitation Hospital of Northern Indiana4807 Edison Lakes Parkway, Mishawaka, IN 46545Certificate of waiverJan 30, 2028

National Provider Directory

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
Jacob S Socha Individual Corporate OfficerPresident Jun 1, 2023
One Equity Partners VII-B LP Organization, New York, NY For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 27, 2019 12.4%
Ernest Health, Inc Organization, Mesquite, TX Corporation, For-profit Other Feb 27, 2019
Epoch Parent Inc Organization, New York, NY Created for acquisition, Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Feb 27, 2019 100%
One Equity Partners VII LP Organization, New York, NY For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 27, 2019 58%
Epoch Parent Holdings LLC Organization, New York, NY Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 27, 2019 100%
Ernest Health Holdings LLC Organization, Mesquite, TX LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Feb 27, 2019 100%
Epoch Midco, Inc Organization, New York, NY Created for acquisition, Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Feb 27, 2019 100%
Vladimir Radivojevic Individual W-2 Managing EmployeeHospital Administrator Jul 14, 2025
Eudora Cannon Individual Corporate OfficerVice President Jun 1, 2023
Other Jun 1, 2023
One Equity Partners VII-a LP Organization, New York, NY For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 27, 2019 29.7%
Caleb Reed Individual Corporate OfficerTreasurer Jun 1, 2023
Denise a Kann Individual Corporate OfficerVice President and Secretary Jun 1, 2023
Epoch Acquisition Inc Organization, New York, NY Created for acquisition, Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Feb 27, 2019 100%

Facilities with the same owner 40

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

  • Bloomington Regional Rehabilitation Hospital, LLC
    • Rehabilitation Hospital
    • Bloomington, IN
    • NPI 1770159022

    Epoch Acquisition Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

    CMS ownership
  • Lafayette Regional Rehabilitation Hospital LLC
    • Rehabilitation Hospital
    • Lafayette, IN
    • NPI 1568713410

    Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

    CMS ownership
  • Advanced Care Hospital of Montana Inc
    • Long Term Care Hospital
    • Billings, MT
    • NPI 1356536312

    Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

    CMS ownership
  • Advanced Care Hospital of Montana Inc
    • Rehabilitation Hospital
    • Billings, MT
    • NPI 1639991540

    Epoch Acquisition Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

    CMS ownership
  • Advanced Care Hospital of Northern Colorado LLC
    • Long Term Care Hospital
    • Johnstown, CO
    • NPI 1598830267

    Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

    CMS ownership
  • Advanced Care Hospital of Southern New Mexico LLC
    • Long Term Care Hospital
    • Las Cruces, NM
    • NPI 1083787345

    Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

    CMS ownership
  • Bakersfield Rehabilitation Hospital, LLC
    • Rehabilitation Hospital
    • Bakersfield, CA
    • NPI 1033780556

    Epoch Acquisition Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

    CMS ownership
  • Corpus Christi Rehabilitation Hospital LLC
    • Rehabilitation Hospital
    • Corpus Christi, TX
    • NPI 1821439183

    Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

    CMS ownership
  • Covenant Rehabilitation Hospital of Lubbock LLC
    • Rehabilitation Hospital
    • Lubbock, TX
    • NPI 1952784985

    Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

    CMS ownership
  • Denver Regional Rehabilitation Hospital LLC
    • Rehabilitation Hospital
    • Thornton, CO
    • NPI 1407375249

    Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

    CMS ownership
  • Elkhorn Valley Rehabilitation Hospital LLC
    • Rehabilitation Hospital
    • Casper, WY
    • NPI 1326233586

    Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

    CMS ownership
  • Green Bay Rehabilitation Hospital LLC
    • Rehabilitation Hospital
    • Green Bay, WI
    • NPI 1902533474

    Epoch Acquisition Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP

    CMS ownership
View all 40

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 6

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": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1639719602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N GALLOWAY AVE STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492434",
            "telephone_number": "972-216-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 EDISON LAKES PARKWAY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451112",
            "telephone_number": "574-243-7727",
            "fax_number": "574-243-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION HOSPITAL OF NORTHERN INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "KANN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "972-216-2299"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequesst_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMd eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rehabilitation Hospital of Northern Indiana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rehabilitation Hospital of Northern Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.