NPIMap

Organization Active NPI

Mercy Rehabilitation Hospital LLC

  • Rehabilitation Hospital
  • Oklahoma City, OK
National Provider Identifier
1811253206
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
MERCY REHABILITATION HOSPITAL LLC
Practice address
5401 W Memorial Rd
Oklahoma City, OK 73142-2026
Phone
(615) 846-9524
NPI assigned
Apr 10, 2012
Last updated
Aug 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Thomas Elliott
Title
Ceo
Phone
(405) 384-5201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

5401 W Memorial Rd
Oklahoma City, OK 73142-2026

Mailing address

5401 W. Memorial Rd
Oklahoma City, OK 73142-2026
Phone (615) 846-9524

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120614000640 OK Part A Provider - Hospital 3173787546 Practice locations: Oklahoma City, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811253206. Details of each certification follow.

Hospital certification: CCN 373033

Legal name
MERCY REHABILITATION HOSPITAL LLC
Doing business as
MERCY REHABILITATION HOSPITAL OKLAHOMA CITY
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Nov 14, 2012
Last certification
Oct 25, 2024
Beds
66
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Aug 10, 2010 in OK
Enrollment address
5401 W Memorial Rd
Oklahoma City, OK 73142-2026
Other Hospital Practice Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Mercy Rehabilitation Hospital Oklahoma CityCCN 373033 · All quality measures
Ownership
For profit
Certified
Nov 14, 2012
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
37D2047506Mercy Rehabilitation Hospital Oklahoma City5401 W Memorial Road, Oklahoma City, OK 73142Certificate of waiverSep 24, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

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 Jan 17, 2019
Thomas Elliott Individual Corporate OfficerHospital Ceo Jan 17, 2019
Operational/Managerial ControlHospital Ceo Jan 17, 2019
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 Operational/Managerial Control Dec 22, 2010 100%
Karyl James Individual Corporate DirectorBoard Member Feb 28, 2017
Lifepoint Rehab LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 50.5%
DSB Acquisition LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 50.5%
Terrance K Dillon Individual Corporate OfficerAssistant Secretary Apr 26, 2022
James Gebhart Individual Corporate DirectorBoard Member Dec 22, 2010
Lifepoint Health Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Dec 23, 2021 50.5%
Marcus B Poppell Individual OtherVice President Dec 23, 2021
Zackary L Dawson Individual Corporate DirectorBoard Member Aug 21, 2019
Mark Krassinger Individual Corporate DirectorBoard Member Aug 21, 2019
Deborah Manharth Individual Corporate DirectorBoard Member Aug 21, 2019
Mercy Hospital Oklahoma City, Inc Organization, Oklahoma City, OK Corporation 5% Or Greater Direct Ownership Interest Dec 22, 2010 49.5%
CRH of Oklahoma City, LLC Organization, Brentwood, TN LLC 5% Or Greater Direct Ownership Interest Dec 22, 2010 50.5%
Centerre Healthcare LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 28, 2019 50.5%
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 6

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy Rehabilitation Hospital Oklahoma City SouthOklahoma City, OK, CCN 373036 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 78

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

View all 78

Practitioners & affiliated clinicians

Practitioners 2

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 6

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": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1811253206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 W. MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422026",
            "telephone_number": "615-846-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422026",
            "telephone_number": "615-846-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY REHABILITATION HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-384-5201"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.