NPIMap

Organization Active NPI

Lovelace Unm Rehabilitation Hospital LLC

  • Rehabilitation Hospital
  • Albuquerque, NM
National Provider Identifier
1700325677
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
LOVELACE UNM REHABILITATION HOSPITAL LLC
Practice address
505 Elm St NE
Albuquerque, NM 87102
Phone
(505) 727-4700
Fax
(505) 727-4752
NPI assigned
Feb 13, 2017
Last updated
Sep 11, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
LOVELACE HEALTH SYSTEM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Authorized official

Name
Stephen C Petrovich
Title
Evp
Phone
(615) 296-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Rehabilitation Hospital 283X00000X NU Primary

Addresses

Primary practice location

505 Elm St NE
Albuquerque, NM 87102

Mailing address

1 Burton Hills Blvd
Suite 250
Nashville, TN 37215-6293
Phone (615) 296-3000

Other practice location 1

111 Rio Rancho Blvd SE
Rio Rancho, NM 87124-7020
Phone (505) 727-4950

Other practice location 2

500 Walter St NE Ste 309
Albuquerque, NM 87102-2562
Phone (505) 727-7177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170424000991 NM Part B Supplier - Clinic/Group Practice 5799061917 Receives reassigned benefits from 38 practitioners
4 other NPIs on this enrollment
Practice locations: Albuquerque, NM; Jemez Pueblo, NM; Santa Fe, NM; Rio Rancho, NM
O20170630002015 NM Part A Provider - Hospital 5799061917 Practice locations: Albuquerque, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700325677. Details of each certification follow.

Hospital certification: CCN 323028

Legal name
LOVELACE UNM REHABILITATION HOSPITAL, LLC
Doing business as
LOVELACE UNM REHABILITATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Dec 27, 1988
Last certification
Jul 24, 2025
Beds
62
Ownership / control type
Private (for profit)
Most recent change of ownership
May 1, 2017 (3 total)
Organization structure
LLCProprietary
Incorporated
Feb 8, 2017 in NM
Enrollment address
505 Elm Street NE
Albuquerque, NM 87102-2500
Other Hospital Practice Location
Hospital subgroups
Rehabilitation

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Lovelace Unm Rehabilitation HospitalCCN 323028 · All quality measures
Ownership
For profit
Certified
Dec 27, 1988
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Lovelace Home Medical

Member of 3

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

Locations

500 Walter St NE
Ste 213
Albuquerque, NM 87102
Phone (505) 250-7361

111 Rio Rancho Blvd SE
Rio Rancho, NM 87124
Phone (505) 727-4950

111 Rio Rancho Blvd SE
#110
Rio Rancho, NM 87124
Phone (505) 727-4950

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Ardent Health Inc Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest May 1, 2017 51%
Martin Bonick Individual Corporate OfficerCeo-Chain Office Aug 19, 2020
University of New Mexico Organization, Albuquerque, NM Non-profit 5% Or Greater Indirect Ownership Interest May 1, 2017 49%
Mary a Crabtree Individual Corporate OfficerSVP Treasurer Jan 1, 2020
Ahs Management Company Inc. Organization, Brentwood, TN Corporation Operational/Managerial Control Jan 1, 2019 100%
Stephen C Petrovich Individual Corporate OfficerGeneral Counsel and Secretary May 1, 2017
Matt Maxfield Individual Corporate OfficerPresident Aug 1, 2022 100%
W-2 Managing EmployeePresident Aug 1, 2022 100%
Ardent Legacy Holdings LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest May 1, 2017 51%
Lovelace Health System LLC Organization, Albuquerque, NM Corporation 5% Or Greater Direct Ownership Interest May 1, 2017 51%
5% Or Greater Security Interest May 1, 2017 51%
Operational/Managerial Control May 1, 2017 51%
Ahp Health Partners, Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest May 1, 2017 51%

Owners & managing parties with NPI records 6

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

  • Lovelace Health System LLC
    • Clinic/Center
    • Santa Fe, NM
    • NPI 1245798024

    5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest, Operational/Managerial Control

    CMS ownership
  • Lovelace Health System LLC
    • General Acute Care Hospital
    • Albuquerque, NM
    • NPI 1306914213

    5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest, Operational/Managerial Control

    CMS ownership
  • Lovelace Health System LLC
    • Rural Health Clinic/Center
    • Roswell, NM
    • NPI 1609273283

    5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest, Operational/Managerial Control

    CMS ownership
  • Lovelace Health System LLC

    dba Lovelace Regional Hospital-Roswell

    • General Acute Care Hospital
    • Roswell, NM
    • NPI 1972878361

    5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest, Operational/Managerial Control

    CMS ownership
  • Lovelace Health System, LLC

    dba Lovelace Westside Hospital

    • General Acute Care Hospital
    • Albuquerque, NM
    • NPI 1649373887

    5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest, Operational/Managerial Control

    CMS ownership
  • Lovelace Health System, LLC

    dba Lovelace Women's Hospital

    • General Acute Care Hospital
    • Albuquerque, NM
    • NPI 1982799375

    5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 61

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

  • Lovelace Health System LLC
    • General Acute Care Hospital
    • Albuquerque, NM
    • NPI 1306914213

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Lovelace Health System LLC
    • Rural Health Clinic/Center
    • Roswell, NM
    • NPI 1609273283

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Lovelace Health System LLC

    dba Lovelace Regional Hospital-Roswell

    • General Acute Care Hospital
    • Roswell, NM
    • NPI 1972878361

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Lovelace Health System, LLC

    dba Lovelace Westside Hospital

    • General Acute Care Hospital
    • Albuquerque, NM
    • NPI 1649373887

    Ahp Health Partners, Inc, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Lovelace Health System, LLC

    dba Lovelace Women's Hospital

    • General Acute Care Hospital
    • Albuquerque, NM
    • NPI 1982799375

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Southwest Medical Associates, LLC
    • Rural Health Clinic/Center
    • Roswell, NM
    • NPI 1578255253

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC, Lovelace Health System LLC

    CMS ownership
  • Ahs Claremore Regional Hospital LLC
    • Rural Health Clinic/Center
    • Claremore, OK
    • NPI 1356974687

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Claremore Regional Hospital, LLC
    • Rural Health Clinic/Center
    • Claremore, OK
    • NPI 1316579642

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Claremore Regional Hospital, LLC.

    dba Hillcrest Hospital Claremore

    • General Acute Care Hospital
    • Claremore, OK
    • NPI 1023398807

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Cushing Hospital LLC

    dba Hillcrest Hospital Cushing

    • Medicare Defined Swing Bed Hospital Unit
    • Cushing, OK
    • NPI 1467523894

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Cushing Hospital LLC

    dba Cushing Regional Hospital

    • General Acute Care Hospital
    • Cushing, OK
    • NPI 1801867643

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Henryetta Hospital LLC

    dba Utica Park Clinic Primary Care

    • Rural Health Clinic/Center
    • Henryetta, OK
    • NPI 1295232478

    Ahp Health Partners, Inc, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
View all 61

Practitioners & affiliated clinicians

Practitioners 43

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 43

Affiliated clinicians 70

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

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1700325677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BURTON HILLS BLVD",
            "address_2": "SUITE 250",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156293",
            "telephone_number": "615-296-3000",
            "fax_number": "615-296-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87102",
            "telephone_number": "505-727-4700",
            "fax_number": "505-727-4752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Rio Rancho Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871247020",
            "country_code": "US",
            "telephone_number": "505-727-4950",
            "fax_number": "505-727-9139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Walter St NE Ste 309",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871022562",
            "country_code": "US",
            "telephone_number": "505-727-7177",
            "fax_number": "505-727-3778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOVELACE UNM REHABILITATION HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOVELACE HEALTH SYSTEM INC",
        "enumeration_date": "2017-02-13",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "615-296-3000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.