CLEARSKY REHABILITATION HOSPITAL OF KENOSHA LLC
NPI 1760104889
Rehabilitation Hospital in Kenosha, WI
NPI Status: Active since September 15, 2022
Contact Information
6308 8TH AVE
PALMER TOWER
KENOSHA, WI
ZIP 53143
Phone: (262) 771-0073
- Organization
- Rehabilitation Hospital
- Accepts Insurance
- CLIA Number: 52D2284973
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 07-02-2025
About CLEARSKY REHABILITATION HOSPITAL OF KENOSHA LLC
This page provides the complete NPI Profile along with additional information for Clearsky Rehabilitation Hospital Of Kenosha Llc, a provider established in Kenosha, Wisconsin operating as a Rehabilitation Hospital. The healthcare provider is registered in the NPI registry with number 1760104889 assigned on September 2022. The practitioner's primary taxonomy code is 283X00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Kristi Duncan (Cfo)
- NPI
- 1760104889
- Provider Name
- CLEARSKY REHABILITATION HOSPITAL OF KENOSHA LLC
- Entity Type
- Organization
- Location Address
- 6308 8TH AVE PALMER TOWER KENOSHA, WI 53143
- Location Phone
- (262) 771-0073
- Mailing Address
- 5600 WYOMING BLVD NE STE 225 ALBUQUERQUE, NM 87109
- Mailing Phone
- (505) 317-3802
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-15-2022
- Last Update Date
- 02-22-2023
- Code Navigator
According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is for profit and was certified on 09-28-2023 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Hospital
- Taxonomy Code
- 283X00000X
- Type
- Hospitals
- Taxonomy Description
- A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Prestige Bronze Essential + 3 Free PCP Visits - HMO
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Bronze Plus - HMO
- Prestige Gold - HMO
- Prestige Gold 50 + 1 Free PCP Visit - HMO
- Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
- Prestige Gold Essential + 3Free PCP Visits - HMO
- Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Silver - HMO
- Prestige Silver Essential + 3 Free PCP Visits - HMO
- Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Signature Prestige Bronze $0 Deductible - HMO
- Signature Prestige Bronze $0 Deductible + Dental + Vision - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- CLEARSKY REHABILITATION HOSPITAL OF KENOSHA LLC has an ownership type of For profit
- The facility received it's medicare certification date on 09-28-2023
| Medical Condition | Times Conditions Treated |
|---|---|
| All other conditions | 17 |
| Brain disease or condition (non-traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Brain injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Hip or femur fracture | Less than 11 - The number of cases/patient stays is too small to report. |
| Hip or knee replacement, amputation or other bone or joint condition | Less than 11 - The number of cases/patient stays is too small to report. |
| Nervous system disorder (excluding stroke) | Less than 11 - The number of cases/patient stays is too small to report. |
| Spinal cord disease or condition (non-traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Spinal cord injury (traumatic) | Not Available - Data not available for this reporting period. |
| Stroke | 16 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2284973
- Facility Type
- Hospital
- Certificate Effective Date
- July 03, 2023
- Certificate Expiration Date
- July 02, 2025
- Laboratory Director
- GERALD NORA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Clearsky Rehabilitation Hospital Of Kenosha Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 6 | 0 | 1 | 0 | 4 | 8 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 2 | 0 | 8 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 2 + 0 + 8 + 8 + 1 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1760104889 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366440851 | JANET S BARNEY APNP Individual | Nurse Practitioner (Primary Care) | 6308 8TH AVE SUITE 2000 KENOSHA, WI 53143 (262) 653-5300 |
| 1699767673 | MR. DINO LAURENZI JR. L-ATC Individual | Specialist/Technologist (Athletic Trainer) | 6308 8TH AVE SUITE 501 KENOSHA, WI 53143 (262) 656-3280 |
| 1982685905 | DR. JAMES A SHAPIRO MD Individual | Orthopaedic Surgery | 6308 8TH AVE KENOSHA, WI 53143 (262) 656-3150 |
| 1972586931 | DR. NARAYAN BALIGA Individual | Anesthesiology | 6308 8TH AVE KENOSHA, WI 53143 (262) 656-2011 |
| 1073596896 | DR. RICK J HUTSON M.D. Individual | Anesthesiology | 6308 8TH AVE KENOSHA, WI 53143 (262) 656-2011 |
| 1841273653 | DR. BRADLEY N HAUGSTAD M.D. Individual | Anesthesiology | 6308 8TH AVE KENOSHA, WI 53143 (262) 656-2011 |
| 1477536928 | DR. DAVID B. JACKSON M.D. Individual | Anesthesiology | 6308 8TH AVE KENOSHA, WI 53143 (262) 656-2011 |
| 1518941707 | DRS FULLIN MANDA KREAGER & ABBO LLC Organization | Internal Medicine (Cardiovascular Disease) | 6308 8TH AVE STE 3060 KENOSHA, WI 53143 (262) 656-8271 |
| 1407830698 | DR. RAMANUJA R MANDA MD FACC FCCP Individual | Internal Medicine (Cardiovascular Disease) | 6308 8TH AVE STE 3060 KENOSHA, WI 53143 (262) 656-8271 |
| 1124002282 | DR. PAUL G SPOTTSWOOD M.D. Individual | Anesthesiology | 6308 8TH AVE KENOSHA, WI 53143 (262) 656-2011 |
| 1275518276 | THERESA A. ASCHENBRENER C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 6308 8TH AVE KENOSHA, WI 53143 (262) 656-2011 |
| 1043266992 | MICHAEL H ZEIHEN MD Individual | Internal Medicine | 6308 8TH AVE SUITE 2000 KENOSHA, WI 53143 (262) 653-5300 |
| 1013963792 | RAYMOND W KNIGHT MD Individual | Internal Medicine (Hematology & Oncology) | 6308 8TH AVE STE 2000 KENOSHA, WI 53143 (262) 653-5300 |
| 1497701809 | MARIO GARRETTO MD Individual | Internal Medicine (Gastroenterology) | 6308 8TH AVE STE 202 KENOSHA, WI 53143 (262) 653-5330 |
| 1760413900 | NED R. NOVSAM M.D. Individual | Urology | 6308 8TH AVE SUITE 503 KENOSHA, WI 53143 (262) 656-8213 |
| 1134150386 | DR. MEREDITH CARTER CLUBB M.D. Individual | Urology | 6308 8TH AVE STE 503 KENOSHA, WI 53143 (262) 656-8213 |
| 1104858349 | DR. HEATHER M WULTERKENS AU.D. Individual | Audiologist | 6308 8TH AVE SUITE 3000 KENOSHA, WI 53143 (262) 656-3300 |
| 1093748493 | MR. ERNESTO ERFE BUENCAMINO MD Individual | Internal Medicine | 6308 8TH AVE SUITE 3090 KENOSHA, WI 53143 (262) 658-1678 |
| 1447271309 | BRANKO PRPA M.D. Individual | Orthopaedic Surgery | 6308 8TH AVE SUITE 1020 KENOSHA, WI 53143 (262) 656-2600 |
| 1629080247 | HEATHER M BARRETT PA Individual | Physician Assistant (Medical) | 6308 8TH AVE KENOSHA, WI 53143 (262) 656-5330 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760104889, enumerated in the NPI registry as an "organization" on September 15, 2022
The provider is located at 6308 8th Ave Palmer Tower Kenosha, Wi 53143 and the phone number is (262) 771-0073
This medical organization specializes in Rehabilitation Hospital with taxonomy code 283X00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Chorus. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 52D2284973 for a "hospital" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 15, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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