NPIMap

Organization Active NPI

Community Stroke and Rehabilitation Center Inc

Doing business as Powers Health Rehabilitation Center

  • Rehabilitation Hospital
  • Crown Point, IN
National Provider Identifier
1801301437
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
COMMUNITY STROKE AND REHABILITATION CENTER INC
Doing business as
Powers Health Rehabilitation Center
Practice address
10215 Broadway
Crown Point, IN 46307-8001
Phone
(219) 661-6100
NPI assigned
Dec 5, 2017
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Mrs. Char Kullerstrand
Title
Regional Director
Phone
(219) 934-8994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

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 1

  • POWERS HEALTH REHABILITATION CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190430000912 IN Part A Provider - Hospital 3971845603 Practice locations: Crown Point, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801301437. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
10215 Broadway
Crown Point, IN 46307-8001
Other Hospital Practice Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Powers Health Rehabilitation CenterCCN 153045 · All quality measures
Ownership
Non-profit
Certified
Aug 30, 2019
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Community Stroke and Rehabilitation Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10191 Broadway
Ste 100
Crown Point, IN 46307
Phone (219) 661-6019

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Janice L Ryba Individual Corporate DirectorBoard Member Dec 11, 2018
Gregg Ferlin Individual Corporate DirectorBoard Member Jul 9, 2021
Frankie Fesko Individual Corporate DirectorBoard Member Dec 11, 2018
Gene L Chang Individual Corporate DirectorBoard Member Dec 11, 2018
Raymond Arthur Neiswonger Individual Corporate DirectorBoard Member Jul 9, 2022
Alan Madhur Kumar Individual Corporate DirectorBoard Member Dec 11, 2018
Leo Correa Individual Corporate DirectorBoard Member Dec 11, 2018
Craig Bolda Individual Corporate OfficerChief Executive Officer Dec 11, 2018
W-2 Managing Employee Dec 11, 2018
Community Foundation of Northwest Indiana Inc Organization, Munster, IN Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jul 1, 2019 100%
Julie M Latta Individual Corporate OfficerChief Financial Officer Jul 1, 2025
W-2 Managing Employee Jul 1, 2025
Donald Fesko Individual Corporate DirectorBoard Member Dec 11, 2018

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 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 455

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

View all 455

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1801301437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3032",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210032",
            "telephone_number": "219-934-8888",
            "fax_number": "219-934-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078001",
            "telephone_number": "219-661-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY STROKE AND REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "KULLERSTRAND",
        "authorized_official_first_name": "CHAR",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "219-934-8994",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POWERS HEALTH REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.