Community Stroke and Rehabilitation Center Inc
Organization Active NPI Rehabilitation Hospital · Crown Point, IN
NPI 1801301437 · NPPES record last updated Jul 11, 2024
Key facts
- NPI
- 1801301437
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital 283X00000X
- Legal business name
- COMMUNITY STROKE AND REHABILITATION CENTER INC
- Practice address
- 10215 Broadway
Crown Point, IN 46307-8001 - Phone
- (219) 661-6100
- NPI assigned
- Dec 5, 2017
- Organization subpart
- No
Authorized official
- Name
- Mrs. Char Kullerstrand
- Title
- Regional Director
- Phone
- (219) 934-8994
Owners & managing parties with NPI records 2
-
Gene Lee Chang, M.D.
-
Alan Madhur Kumar, M.D.
Corporate family (same tax ID) 1
Facilities with the same owner 3
Affiliated clinicians 455
-
Samer Abbas, MD
-
Raied Abdullah, M.D.
-
Jody Adams, NP
-
Jacquelyn Raquel Adley, NP-C
-
Gaurav Agarwal, MD
-
Maria Teresa Aguirre, M.D.
-
Imran Ahmad, MD
-
Maher Ajam, M.D.
-
Samer Ajam, MD
-
Tarek Ajam, M.D.
-
Ender A Akan, M.D.
-
Mehdi Akhavan-Heidari, M.D.
-
Dakota Alessandrini, P.A.
-
Mohammad Yousef Alkhatib, M.D.
-
Gaurav Alreja, M.D.
-
Fadi I Alzeidan, MD
-
Helen Anderson, FNPC
-
Scott A Andrews, M.D.
-
Anoop Appannagari, M.D.
-
Wail E Asfour, M.D.
-
Faleh Atassi, M.D.
-
Hadi Atassi, D.O.
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Powers Health Rehabilitation Center
- Ownership
- Non-profit
- Certified
- Aug 30, 2019
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Hospital certification: CCN 153045
- Legal name
- COMMUNITY STROKE AND REHABILITATION CENTER INC
- Doing business as
- POWERS HEALTH REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Rehabilitation
- Participating since
- Aug 30, 2019
- Last certification
- Aug 30, 2019
- Beds
- 40
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 10215 Broadway
Crown Point, IN 46307-8001 - Hospital subgroups
- Rehabilitation
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Janice L Ryba |
Corporate Director |
Dec 11, 2018 | |
| Gregg Ferlin |
Corporate Director |
Jul 9, 2021 | |
| Frankie Fesko |
Corporate Director |
Dec 11, 2018 | |
| Gene L Chang |
Corporate Director |
Dec 11, 2018 | |
| Raymond Arthur Neiswonger |
Corporate Director |
Jul 9, 2022 | |
| Alan Madhur Kumar |
Corporate Director |
Dec 11, 2018 | |
| Leo Correa |
Corporate Director |
Dec 11, 2018 | |
| Craig Bolda |
Corporate Officer |
Dec 11, 2018 | |
| W-2 Managing Employee | Dec 11, 2018 | ||
| Community Foundation of Northwest Indiana Inc |
5% Or Greater Direct Ownership Interest | Jul 1, 2019 | 100% |
| Julie M Latta |
Corporate Officer |
Jul 1, 2025 | |
| W-2 Managing Employee | Jul 1, 2025 | ||
| Donald Fesko |
Corporate Director |
Dec 11, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190430000912 | IN | Part a Provider - Hospital | 3971845603 | Practice locations: Crown Point, IN |
National Provider Directory
- Tax ID family
- Community Stroke and Rehabilitation Center Inc
Locations
10191 Broadway
Ste 100
Crown Point, IN 46307
Phone (219) 661-6019
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | Yes |
Addresses
Primary practice location
10215 Broadway
Crown Point, IN 46307-8001
Mailing address
PO Box 3032
Munster, IN 46321-0032
Phone (219) 934-8888
Other names
- POWERS HEALTH REHABILITATION CENTER
Other providers in Crown Point, IN
- Chloe Coleman
- Taishay Coleman
- Kristin J Collard
- Chad Glenn Collins
- Community Stroke and Rehabilitation Center Inc
- Compassionate Counseling
- Comprehensive Imaging Associates, PC
- Natalie Conley
- Maria Consolacion-Cruz
- Monica Constantine
All providers in Crown Point, IN · Rehabilitation Hospital in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.