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St Catherine Hospital Inc

Organization Active NPI Rehabilitation Hospital Unit · East Chicago, IN

NPI 1972605178 · NPPES record last updated Jul 11, 2024

Key facts

NPI
1972605178
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Hospital Unit 273Y00000X
License
050050081 (IN)
Legal business name
ST CATHERINE HOSPITAL INC
Practice address
4321 Fir St
East Chicago, IN 46312-3049
Phone
(219) 392-1700
Fax
(219) 934-8889
NPI assigned
Sep 1, 2006
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 3

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

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 6

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 3

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

Affiliated clinicians 4

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

Medicare Care Compare: Inpatient rehabilitation facility

Listed as
The Rehabilitation Center at St. Catherine Hospita CCN 15T008
Ownership
Non-profit
Certified
Jan 1, 2002

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Hospital certification: CCN 15T008

Legal name
ST CATHERINE HOSPITAL INC
Doing business as
POWERS HEALTH
Organization structure
Corporation · Non-profit
Enrollment address
4321 Fir St
East Chicago, IN 46312-3049
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Luis Molina
Individual 		Corporate Director
Director		 Jul 1, 2022
Karen Bishop Morris
Individual 		Corporate Director Aug 1, 2018
Jeffrey D Strack
Individual 		Corporate Director
Director		 May 1, 2018
R L Gonzalez
Individual 		Corporate Director
Director		 Jul 1, 2007
Rita Jacque Gillis
Individual 		Corporate Director
Director		 Jul 1, 2013
John Artis
Individual 		Corporate Director
Director		 Jul 1, 2011
Victor H Prasco
Individual 		Corporate Director
Director		 Jul 1, 2018
Matthew Arnold Ramos Libiran
Individual 		Corporate Director
Board Director		 Jan 21, 2026
George Ryan
Individual 		Corporate Director
Director		 Feb 19, 2019
Daniel O'Brien
Individual 		Corporate Officer
Cfo		 Jul 1, 2025
W-2 Managing Employee Jul 1, 2025
Edward Williams
Individual 		Corporate Director
Director		 Aug 16, 2017
Leo Correa
Individual 		Corporate Officer
Ceo		 Feb 13, 2017
W-2 Managing Employee Feb 13, 2017
Maria Luz Corona
Individual 		Corporate Director
Director		 Jul 1, 2007
Annemarie Kampwerth
Individual 		Corporate Director
Director		 Jul 1, 2022
Wassim Shwaiki
Individual 		Corporate Director
Director		 Jul 1, 2013
John Caban
Individual 		Corporate Director Nov 9, 2007
Community Foundation of Northwest Indiana Inc
Organization · Munster, IN
Corporation, Non-profit, Chain home office 		5% Or Greater Direct Ownership Interest Oct 14, 2001 100%
Judy Gresko
Individual 		Corporate Director
Director		 Jul 1, 2008
Marisela Varela
Individual 		Corporate Director
Director		 Jul 1, 2013

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20071201000004 IN Part a Provider - Hospital 1052225604 Practice locations: East Chicago, IN

National Provider Directory

Tax ID family
Lakeshore Health System (7 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 050050081 IN Yes

Addresses

Primary practice location

4321 Fir St
East Chicago, IN 46312-3049

Mailing address

PO Box 3601
Munster, IN 46321-0751
Phone (219) 934-8888

Other identifiers

IdentifierTypeStateIssuer
100268310MedicaidIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 11, 2024.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1972605178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3601",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210751",
            "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": "4321 FIR ST",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123049",
            "telephone_number": "219-392-1700",
            "fax_number": "219-934-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CATHERINE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "IN",
            "license": "050050081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100268310",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chicago, IN

All providers in East Chicago, IN · Rehabilitation Hospital Unit in Indiana

Sources for this page

Verify at the official NPI Registry.