NPIMap

Organization Active NPI

St Catherine Hospital Inc

  • Rehabilitation Hospital Unit
  • East Chicago, IN
National Provider Identifier
1972605178
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
050050081 Issued in 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
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 Unit 273Y00000X 050050081 IN Primary

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 1

IdentifierTypeStateIssuer
100268310MedicaidIN

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972605178. Details of each certification follow.

Hospital certification: CCN 15T008

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

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

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
The Rehabilitation Center at St. Catherine HospitaCCN 15T008 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 2002

National Provider Directory

National Provider Directory
Tax ID family
Reed Lewis Assoc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

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 DirectorDirector Jul 1, 2022
Karen Bishop Morris Individual Corporate Director Aug 1, 2018
Jeffrey D Strack Individual Corporate DirectorDirector May 1, 2018
R L Gonzalez Individual Corporate DirectorDirector Jul 1, 2007
Rita Jacque Gillis Individual Corporate DirectorDirector Jul 1, 2013
John Artis Individual Corporate DirectorDirector Jul 1, 2011
Victor H Prasco Individual Corporate DirectorDirector Jul 1, 2018
Matthew Arnold Ramos Libiran Individual Corporate DirectorBoard Director Jan 21, 2026
George Ryan Individual Corporate DirectorDirector Feb 19, 2019
Daniel O'Brien Individual Corporate OfficerCfo Jul 1, 2025
W-2 Managing Employee Jul 1, 2025
Edward Williams Individual Corporate DirectorDirector Aug 16, 2017
Leo Correa Individual Corporate OfficerCeo Feb 13, 2017
W-2 Managing Employee Feb 13, 2017
Maria Luz Corona Individual Corporate DirectorDirector Jul 1, 2007
Annemarie Kampwerth Individual Corporate DirectorDirector Jul 1, 2022
Wassim Shwaiki Individual Corporate DirectorDirector 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 DirectorDirector Jul 1, 2008
Marisela Varela Individual Corporate DirectorDirector Jul 1, 2013

Owners & managing parties with NPI records 3

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 4

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": "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

Sources for this page

Verify at the official NPI Registry.