NPIMap

Organization Active NPI

Mercy Rehabilitation Hospital Springfield LLC

Doing business as Mercy Rehabilitation Hospital Springfield

  • Rehabilitation Hospital
  • Springfield, MO
National Provider Identifier
1871928473
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
MERCY REHABILITATION HOSPITAL SPRINGFIELD LLC
Doing business as
Mercy Rehabilitation Hospital Springfield
Practice address
5904 S. Southwood Road
Springfield, MO 65804
Phone
(417) 536-9696
NPI assigned
Sep 13, 2013
Last updated
Apr 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Brent YatesNPI 1578759262
Title
Hospital Ceo
Phone
(417) 227-9001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X NU Primary

Addresses

Primary practice location

5904 S. Southwood Road
Springfield, MO 65804

Mailing address

5904 S. Southwood Road
Springfield, MO 65804
Phone (417) 227-9000

Other names 1

  • Mercy Rehabilitation Hospital Springfield Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140204000549 MO Part A Provider - Hospital 3476782905 Practice locations: Springfield, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871928473. Details of each certification follow.

Hospital certification: CCN 263032

Legal name
MERCY REHABILITATION HOSPITAL SPRINGFIELD LLC
Doing business as
MERCY REHABILITATION HOSPITAL SPRINGFIELD
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
May 21, 2014
Last certification
May 21, 2014
Beds
60
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Sep 20, 2012 in MO
Enrollment address
5904 S Southwood Rd
Springfield, MO 65804-5234
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation unit

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Mercy Rehabilitation Hospital SpringfieldCCN 263032 · All quality measures
Ownership
For profit
Certified
May 21, 2014
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
26D2074017Mercy Rehabilitation Hospital Springfield5904 S Southwood Rd, Springfield, MO 65804Certificate of waiverFeb 26, 2028

National Provider Directory

National Provider Directory

Locations

5904 S Southwood Rd
Springfield, MO 65804
Phone (417) 227-9000

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Brent S Yates Individual Corporate OfficerCeo May 11, 2020
Operational/Managerial ControlHospital Ceo May 11, 2020
Donna Flannery Individual Corporate DirectorBoard Member Jan 1, 2015
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 Sep 20, 2012 100%
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%
Mercy Health Springfield Communities Organization, Springfield, MO Non-profit 5% Or Greater Direct Ownership Interest Sep 20, 2012 49.5%
CRH of Springfield, LLC Organization, Brentwood, TN For-profit 5% Or Greater Direct Ownership Interest Sep 20, 2012 50.5%
Brent Hubbard Individual Corporate DirectorBoard Member Apr 6, 2020
Jeffery L Tucker Individual Corporate DirectorBoard Member Apr 6, 2020
Lifepoint Health Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Dec 23, 2021 50.5%
Robert B Wyrsch Individual Corporate DirectorBoard Member Jan 1, 2015
Marcus B Poppell Individual OtherVice President Dec 23, 2021
Mark Krassinger Individual Corporate DirectorBoard Member Apr 6, 2020
Robert Wise Individual Corporate DirectorBoard Member Mar 21, 2018
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 31, 2022 50.5%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 93

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

View all 93

Practitioners & affiliated clinicians

Practitioners 5

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 5

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": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1871928473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 S. SOUTHWOOD ROAD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-227-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 S. SOUTHWOOD ROAD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-536-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY REHABILITATION HOSPITAL SPRINGFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "HOSPITAL CEO",
        "authorized_official_telephone_number": "417-227-9001"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Rehabilitation Hospital Springfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Rehabilitation Hospital Springfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.