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

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  • Organization
  • Rehabilitation Hospital
  • Accepts Insurance
  • CLIA Number: 52D2284973
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 07-02-2027

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
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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 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 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 Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Prestige Bronze $0 Medical Deductible - HMO
  • Prestige Bronze $0 Medical Deductible + Dental + Vision - HMO
  • Prestige Bronze $0 Medical Deductible + Dental +Vision - 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 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

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRISTI DUNCAN

Authorized Official Title
CFO
Authorized Official Phone
(505) 317-3988

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
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions17
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 fractureLess than 11 - The number of cases/patient stays is too small to report.
Hip or knee replacement, amputation or other bone or joint conditionLess 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.
Stroke16

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, 2025
Certificate Expiration Date
July 02, 2027
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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760104889, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 2 + 0 + 8 + 8 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1760104889.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
6308 8TH AVE, SUITE 501
KENOSHA, WI 53143
Orthopaedic Surgery
6308 8TH AVE
KENOSHA, WI 53143
Anesthesiology
6308 8TH AVE
KENOSHA, WI 53143
Anesthesiology
6308 8TH AVE
KENOSHA, WI 53143
Anesthesiology
6308 8TH AVE
KENOSHA, WI 53143
Anesthesiology
6308 8TH AVE
KENOSHA, WI 53143
Internal Medicine (Cardiovascular Disease)
6308 8TH AVE, STE 3060
KENOSHA, WI 53143
Internal Medicine (Cardiovascular Disease)
6308 8TH AVE, STE 3060
KENOSHA, WI 53143
Anesthesiology
6308 8TH AVE
KENOSHA, WI 53143
Nurse Anesthetist, Certified Registered
6308 8TH AVE
KENOSHA, WI 53143
Internal Medicine
6308 8TH AVE, SUITE 2000
KENOSHA, WI 53143
Internal Medicine (Hematology & Oncology)
6308 8TH AVE, STE 2000
KENOSHA, WI 53143
Internal Medicine (Gastroenterology)
6308 8TH AVE, STE 202
KENOSHA, WI 53143
Urology
6308 8TH AVE, SUITE 503
KENOSHA, WI 53143
Urology
6308 8TH AVE, STE 503
KENOSHA, WI 53143
Audiologist
6308 8TH AVE, SUITE 3000
KENOSHA, WI 53143
Internal Medicine
6308 8TH AVE, SUITE 3090
KENOSHA, WI 53143
Physician Assistant (Medical)
6308 8TH AVE
KENOSHA, WI 53143
Internal Medicine
6308 8TH AVE
KENOSHA, WI 53143
Urology
6308 8TH AVE, SUITE 503
KENOSHA, WI 53143

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760104889, enumerated 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.

Rehabilitation Hospital with taxonomy code 283X00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Network. Please consult your insurance carrier or call the provider to verify.