NPIMap

Organization Active NPI

Mercy Rehabilitation Hospital, LLC

Doing business as Mercy Rehabilitation Hospital

  • Rehabilitation Hospital
  • Fort Smith, AR
National Provider Identifier
1699365254
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
MERCY REHABILITATION HOSPITAL, LLC
Doing business as
Mercy Rehabilitation Hospital
Practice address
6700 Chad Colley Blvd
Fort Smith, AR 72916-6120
Phone
(479) 221-8966
NPI assigned
Jan 19, 2021
Last updated
Jan 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Cory VanmeterNPI 1417008160
Title
Ceo
Phone
(479) 221-8966

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

6700 Chad Colley Blvd
Fort Smith, AR 72916-6120

Mailing address

680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-6505

Other names 1

  • Mercy Rehabilitation Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210303003074 AR Part A Provider - Hospital 8921414616 Practice locations: Fort Smith, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699365254. Details of each certification follow.

Hospital certification: CCN 043037

Legal name
MERCY REHABILITATION HOSPITAL, LLC
Doing business as
MERCY REHABILITATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jun 21, 2021
Last certification
Jun 6, 2024
Beds
50
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
6700 Chad Colley Blvd
Fort Smith, AR 72916-6120
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Mercy Rehabilitation HospitalCCN 043037 · All quality measures
Ownership
For profit
Certified
Jun 21, 2021
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
04D2220924Mercy Rehabilitation Hospital of Fort Smith6700 Chad Colley Blvd, Fort Smith, AR 72916Certificate of waiverApr 15, 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 17

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

NameRoleSinceShare
Sharon S Smeltzer Individual Corporate DirectorBoard Member May 25, 2021
Lifepoint Rehab Blocker LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2022 50.5%
CHC Management Services LLC Organization, Brentwood, TN LLC, Management services company Operational/Managerial Control May 25, 2021
Julianne Stec Individual Corporate DirectorBoard Member May 25, 2021
Lifepoint Rehab LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2021 50.5%
DSB Acquisition LLC Organization, New York, NY Corporation 5% Or Greater Indirect Ownership Interest Dec 23, 2021 50.5%
Cory Vanmeter Individual Corporate OfficerHospital Ceo May 25, 2021
Operational/Managerial ControlHospital Ceo May 25, 2021
Curtis D Ralston Individual Corporate DirectorBoard Member May 25, 2021
Mercy Hospital Fort Smith Organization, Fort Smith, AR LLC 5% Or Greater Direct Ownership Interest May 25, 2021 49.5%
KND Irf Development 42, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest May 25, 2021 50.5%
Terrance K Dillon Individual Corporate OfficerAssistant Secretary Jun 9, 2022
Lifepoint Health Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Dec 23, 2021 50.5%
Marcus B Poppell Individual Corporate OfficerVice President Dec 23, 2021
OtherVice President Dec 23, 2021
Mark Krassinger Individual Corporate DirectorBoard Member Aug 9, 2021
Deborah Manharth Individual Corporate DirectorBoard Member Apr 26, 2022
Janeen Kueck Individual Corporate DirectorBoard Member May 25, 2021
Lifepoint Rehab Blocker Parent LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 50.5%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 83

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

View all 83

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 5

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": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1699365254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 CHAD COLLEY BLVD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166120",
            "telephone_number": "479-221-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "VANMETER",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-221-8966"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.