Active NPI
Clearsky Rehabilitation Hospital of Kenosha LLC
- Rehabilitation Hospital
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- Legal business name
- CLEARSKY REHABILITATION HOSPITAL OF KENOSHA LLC
- Practice address
- 6308 8TH Ave
Palmer Tower
Kenosha, WI 53143-5031 - Phone
- (262) 771-0073
- NPI assigned
- Sep 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristi Duncan
- Title
- Cfo
- Phone
- (505) 317-3988
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | Primary |
Addresses
Primary practice location
6308 8TH Ave
Palmer Tower
Kenosha, WI 53143-5031
Mailing address
5600 Wyoming Blvd NE Ste 225
Albuquerque, NM 87109-3136
Phone (505) 317-3802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230410001638 | WI | Part A Provider - Hospital | 8325413131 | Practice locations: Kenosha, WI |
Hospital certification: CCN 523032
- Legal name
- CLEARSKY REHABILITATION HOSPITAL OF KENOSHA LLC
- Certification status
- Active
- Provider type (POS)
- Hospital – Rehabilitation
- Participating since
- Sep 28, 2023
- Last certification
- Sep 28, 2023
- Beds
- 39
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC
- Incorporated
- Nov 10, 2021 in DE
- Enrollment address
- 6308 8TH Ave
Palmer Tower
Kenosha, WI 53143-5031 - Hospital subgroups
- Rehabilitation
Care Compare: Inpatient rehabilitation facility
Medicare Care Compare- Listed as
- Clearsky Rehabilitation Hospital of Kenosha
- Ownership
- For profit
- Certified
- Sep 28, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 20
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| BW Clearsky Aiv IV C Corp | 5% Or Greater Indirect Ownership Interest | Nov 17, 2023 | 9.45% |
| BW Clearsky Aiv IV Indirect Feeder LP | 5% Or Greater Indirect Ownership Interest | Nov 17, 2023 | 9.45% |
| BW Aiv IV Direct Feeder LP | 5% Or Greater Indirect Ownership Interest | Nov 17, 2023 | 35.21% |
| Peloton Clearsky Inc | 5% Or Greater Indirect Ownership Interest | Nov 17, 2023 | 44.66% |
| Kristi L Duncan | Corporate Officer | Nov 10, 2021 | |
| Peloton Clearsky LLC | 5% Or Greater Indirect Ownership Interest | Nov 17, 2023 | 22.33% |
| Peloton Equity II LP | 5% Or Greater Indirect Ownership Interest | Nov 17, 2023 | 22.33% |
| Claude Darby Brockette | Corporate Officer | Nov 10, 2021 | |
| Sheryl H Gentile | Corporate Officer | Nov 10, 2021 | |
| Clearsky Health Acquisition LLC | 5% Or Greater Direct Ownership Interest | Nov 10, 2021 | 100% |
| Leavitt Equity Partners II LP | 5% Or Greater Indirect Ownership Interest | Nov 17, 2023 | 5.95% |
| Michael J Warrington | Corporate Officer | Dec 2, 2024 | |
| Clearsky Health Intermediate LLC | 5% Or Greater Indirect Ownership Interest | Nov 10, 2021 | 100% |
| Clearsky Employee Holdings-a, LLC | 5% Or Greater Indirect Ownership Interest | Nov 17, 2023 | 4.74% |
| Donna S Wilbur | W-2 Managing Employee | Aug 27, 2025 | |
| Clearsky Health Holdings LLC | 5% Or Greater Indirect Ownership Interest | Nov 10, 2021 | 100% |
| Theodore B Lundberg | Corporate Officer | Nov 10, 2021 | |
| Jeremy Michael Kogler | Corporate Officer | Nov 10, 2021 | |
| Joshua Luke | W-2 Managing Employee | Oct 20, 2025 | |
| BW Clearsky Aiv IV LP | 5% Or Greater Indirect Ownership Interest | Nov 17, 2023 | 44.66% |
Facilities with the same owner 13
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Rehabilitation Hospital
- Cleveland, WI
- NPI 1164242731
BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC
-
- Rehabilitation Hospital
- Baytown, TX
- NPI 1487335360
BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC
-
- Rehabilitation Hospital
- Elwood, KS
- NPI 1487300943
BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC
-
- Rehabilitation Hospital
- Flower Mound, TX
- NPI 1407467855
BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC
-
- Rehabilitation Hospital
- Harker Heights, TX
- NPI 1770219081
BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC
-
- Rehabilitation Hospital
- Lake City, FL
- NPI 1053131623
BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC
-
- Rehabilitation Hospital
- Lancaster, OH
- NPI 1083487169
BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC
-
- Rehabilitation Hospital
- Lecanto, FL
- NPI 1487380796
BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC
-
- Rehabilitation Hospital
- Mansfield, TX
- NPI 1013665124
BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC
-
- Rehabilitation Hospital
- Rio Rancho, NM
- NPI 1093341810
BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC
-
- Rehabilitation Hospital
- Heath, TX
- NPI 1104639558
BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC
-
- Rehabilitation Hospital
- Avondale, AZ
- NPI 1063168243
BW Aiv IV Direct Feeder LP, BW Clearsky Aiv IV C Corp, BW Clearsky Aiv IV Indirect Feeder LP, BW Clearsky Aiv IV LP, Clearsky Employee Holdings-a, LLC, Clearsky Health Acquisition LLC, Clearsky Health Holdings LLC, Clearsky Health Intermediate LLC
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Racine, WI
- NPI 1699705764
Inpatient rehabilitation facility
-
- Physical Medicine & Rehabilitation Physician
- Kenosha, WI
- NPI 1083980841
Inpatient rehabilitation facility
-
- Internal Medicine Physician
- Racine, WI
- NPI 1265774715
Inpatient rehabilitation facility
-
- Family Medicine Physician
- Chicago, IL
- NPI 1205574456
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677024000000",
"number": "1760104889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 WYOMING BLVD NE STE 225",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093136",
"telephone_number": "505-317-3802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6308 8TH AVE",
"address_2": "PALMER TOWER",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531435031",
"telephone_number": "262-771-0073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEARSKY REHABILITATION HOSPITAL OF KENOSHA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-15",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "KRISTI",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "505-317-3988"
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.