NPIMap

Organization Active NPI

Madison Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • Madison, WI
National Provider Identifier
1831583145
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
MADISON REHABILITATION HOSPITAL, LLC
Practice address
5115 N Biltmore LN
Madison, WI 53718
Phone
(608) 592-8101
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Kenneth M Bowman
Title
Ceo
Phone
(608) 592-8101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

5115 N Biltmore LN
Madison, WI 53718

Mailing address

5115 N Biltmore LN
Madison, WI 53718-2161
Phone (608) 592-8100

Other identifiers 1

IdentifierTypeStateIssuer
100055308MedicaidWI

Other names 1

  • UW Health Rehabilitation Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150529002504 WI Part A Provider - Hospital 2961723176 Practice locations: Madison, WI

Hospital certification: CCN 523028

Legal name
MADISON REHABILITATION HOSPITAL, LLC
Doing business as
UW HEALTH REHABILITATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Oct 26, 2015
Last certification
Apr 25, 2018
Beds
50
Ownership / control type
Private (not for profit)
Organization structure
LLCProprietary
Incorporated
Jul 11, 2013 in WI
Enrollment address
5115 N Biltmore LN
Madison, WI 53718-2161
Other Hospital Practice Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Uw Health Rehabilitation HospitalCCN 523028
Ownership
Non-profit
Certified
Oct 26, 2015
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
52D2101730Madison Rehabilitation Hospital5115 N Biltmore LN, Madison, WI 53718Certificate of waiverSep 8, 2027

National Provider Directory

National Provider Directory

Member of 2

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

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Wcas XII Hospital LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 30, 2020 12.7%
Lifepoint Rehab Blocker LLC Organization, Brentwood, TN LLC Other Dec 23, 2021 4.71%
Frederic Ransom Individual Corporate DirectorBoard Member Sep 26, 2019
TPG VII Kentucky BL I LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 11.35%
CHC Management Services LLC Organization, Louisville, KY For-profit Operational/Managerial Control Jul 18, 2013
Elizabeth Clough Individual Corporate DirectorBoard Member Sep 26, 2019
Mary D Van de Kamp Individual Corporate DirectorBoard Member Sep 26, 2019
Lifepoint Rehab LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 40.4%
James E Ransom Individual Corporate DirectorBoard Member Jul 15, 2020
DSB Acquisition LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 40.4%
Monica a Case Individual Corporate DirectorBoard Member Jul 2, 2018
CRH of Madison, LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2016 40.4%
Meriter Hospital Inc Organization, Madison, WI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 10, 2016 19%
Susan Rees Individual Corporate DirectorBoard Member Sep 26, 2019
University of Wisconsin Hospitals and Clinics Authority Organization, Madison, WI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 18, 2013 40.6%
Lifepoint Health Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Dec 23, 2021 40.4%
James Arnett Individual Corporate DirectorBoard Member Sep 26, 2019
Marcus B Poppell Individual Operational/Managerial ControlChain Home Office Administrator Dec 23, 2021
Kenneth Bowman Individual Corporate OfficerHospital Ceo Sep 26, 2019
Operational/Managerial ControlHospital Ceo Sep 26, 2019
PSP Hospital Holdings LLC Organization, Brentwood, TN LLC, Holding company 5% Or Greater Indirect Ownership Interest Nov 30, 2020 6.53%
Jason Zachariah Individual Corporate DirectorBoard Member Jul 2, 2018
Centerre Healthcare LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 28, 2019 40.4%
Lifepoint Rehab Blocker Parent LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 35.69%

Owners & managing parties with NPI records 21

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

View all 21

Facilities with the same owner 71

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

View all 71

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1831583145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 N BILTMORE LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182161",
            "telephone_number": "608-592-8100",
            "fax_number": "608-592-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 N BILTMORE LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53718",
            "telephone_number": "608-592-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON REHABILITATION HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-592-8101"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100055308",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UW Health Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UW Health Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.