BLOOMINGTON REGIONAL REHABILITATION HOSPITAL, LLC
NPI 1770159022
Rehabilitation Hospital in Bloomington, IN

Q: What is Bloomington Regional Rehabilitation Hospital, LLC's specialty?

The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.

Active since May 27, 2021CLIA 15D2235307 · Waiver

3050 N. LINTEL DRIVE, BLOOMINGTON, IN 47404(812) 336-2815(812) 336-2816 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 14, 2025, Sep 13, 2021, Aug 17, 2021 and 2 more (5 updates tracked since 2021).

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About Bloomington Regional Rehabilitation Hospital, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOMINGTON REGIONAL REHABILITATION HOSPITAL, LLC (NPI 1770159022) is a healthcare organization registered as a rehabilitation hospital in Bloomington, Indiana and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through September 7, 2027 and lists Denise Kann, Vice President And Secretary, as its authorized official.

NPPES Registry Identity

NPI1770159022

Entity TypeOrganization

Primary Taxonomy283X00000X

Legal Business NameBLOOMINGTON REGIONAL REHABILITATION HOSPITAL, LLC

Location Address3050 N. LINTEL DRIVEBloomington, IN 47404-8945

Mailing Address1024 N Galloway Ave Ste 102Mesquite, TX 75149-2434 · (972) 216-2299

Phone(812) 336-2815

Fax(812) 336-2816

Organization SubpartNo

Authorized OfficialDenise KannVice President And Secretary · (972) 216-2299

Enumeration DateMay 27, 2021

Last NPPES UpdateNovember 14, 20255 updates tracked since enumeration

NPPES CertifiedNovember 14, 2025

✔ NPI 1770159022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation HospitalHospitals

Taxonomy Code283X00000X

Definition

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

3050 N. LINTEL DRIVE, Bloomington, IN 47404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bloomington Regional Rehabilitation Hospital, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateIndianaEnrollment IDO20210813000761Part A · HospitalDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2235307

Bloomington Regional Rehabilitation Hospital · Bloomington, IN

Active · expires Sep 7, 2027

CLIA Number15D2235307

Laboratory TypeHospital

Certificate Effective DateSeptember 8, 2025

Certificate Expiration DateSeptember 7, 2027

Laboratory DirectorDr. Steven Dugan

Laboratory Phone(812) 336-2815

Laboratory LocationBloomington Regional Rehabilitation Hospital3050 North Lintel Drive, Bloomington, IN 47404

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloomington Regional Rehabilitation Hospital, LLC's NPI number?

The NPI number for Bloomington Regional Rehabilitation Hospital, LLC is 1770159022. It was assigned to this organization in the NPPES registry on May 27, 2021.

Where is Bloomington Regional Rehabilitation Hospital, LLC located?

Bloomington Regional Rehabilitation Hospital, LLC is located at 3050 N. Lintel Drive, Bloomington, IN 47404. The listed phone number is (812) 336-2815.

What is Bloomington Regional Rehabilitation Hospital, LLC's specialty?

The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.

Is Bloomington Regional Rehabilitation Hospital, LLC enrolled in Medicare?

Yes. Bloomington Regional Rehabilitation Hospital, LLC is registered in the Medicare PECOS enrollment system.

When is Bloomington Regional Rehabilitation Hospital, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Indiana, Hospital) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Bloomington Regional Rehabilitation Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2235307) is associated with this NPI, valid through September 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bloomington Regional Rehabilitation Hospital, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Bloomington Regional Rehabilitation Hospital, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bloomington Regional Rehabilitation Hospital, LLC was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.