IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019 CMS populates the provider demographic information appearing on reports from the CMS Survey Processing Environment (ASPEN) system, which is updated by CMS Regional Offices or State Aspen Coordinators. If the information you see displayed is inaccurate or has changed, please review the How to Update IRF Demographic Data tip sheet.

CCN IRF Name Address City State ZIP 02T001 PROVIDENCE ALASKA MEDICAL CTR 3200 PROVIDENCE DR. ANCHORAGE AK 99519 02T017 ALASKA REGIONAL HOSPITAL 2801 DEBARR RD ANCHORAGE AK 99508 013025 HEALTHSOUTH LAKESHORE REHABILITATION HOSPITAL 3800 RIDGEWAY DRIVE BIRMINGHAM AL 35209 013028 HEALTHSOUTH REHABILITATION HOSPITAL OF MONTGOMERY 4465 NARROW LANE RD MONTGOMERY AL 36116 013029 HEALTHSOUTH REHABILITATION HOSPITAL OF NORTH AL 107 GOVERNORS DRIVE HUNTSVILLE AL 35801 013030 HEALTHSOUTH REHABILITATION HOSPITAL 1736 EAST STREET DOTHAN AL 36301 013032 HEALTHSOUTH REHABILITATION HOSPITAL OF GADSDEN 801 GOODYEAR AVE GADSDEN AL 35903 013033 REGIONAL REHABILITATION HOSPITAL 3715 HIGHWAY 280 PHENIX CITY AL 36869 01T011 ST. VINCENTS EAST REHABILITATION CENTER 50 MEDICAL PARK EAST DRIVE BIRMINGHAM AL 35235 01T029 EAMC- LANIER 2000 PEPPERELL PARKWAY. OPELIKA AL 36801 01T033 SPAIN REHABILITATION CENTER SRC 223E BIRMINGHAM AL 35249 01T092 NORTHPORT MEDICAL CENTER 809 UNIVERSITY BOULEVARD, EAST TUSCALOOSA AL 35401 01T104 GRANDVIEW MEDICAL CENTER 3690 GRANDVIEW PARKWAY BIRMINGHAM AL 35243 01T113 MOBILE INFIRMARY POB 2144 MOBILE AL 36652 01T114 MEDICAL WEST HOSPITAL AUTHORITY REHAB UNIT 995 9TH AVENUE SOUTHWEST BESSEMER AL 35022 01T139 AMI BROOKWOOD MEDICAL CENTER 2010 BROOKWOOD MEDICAL CTR. DR HOMEWOOD AL 35209 01T144 SPRINGHILL MEDICAL CENTER 3719 DAUPHIN STREET MOBILE AL 36608 01T157 JW SOMMER REHABILITATION UNIT 201 AVALON AVE MUSCLE SHOALS AL 35661 043026 BAPTIST HEALTH REHABILITATION INSTITUTE 9601 BAPTIST HEALTH DRIVE LITTLE ROCK AR 72205 043028 HEALTHSOUTH REHABILITATION HOSPITAL OF FORT 1401 J STREET FORT SMITH AR 72901 043029 HEALTHSOUTH REHABILITATION HOSPITAL OF JONESBORO 1201 FLEMING AVE JONESBORO AR 72401 043031 ST VINCENT REHABILITATION HOSPITAL 2201 WILDWOOD AVENUE SHERWOOD AR 72120 043032 HEALTHSOUTH REHAB HOSP IN PART W/WASHINGTON REGION 153 E MONTE PAINTER DRIVE FAYETTEVILLE AR 72703 043033 CONWAY REGIONAL REHABILITATION HOSPITAL 2210 ROBINSON STREET CONWAY AR 72034 043035 CHI ST VINCENT HOT SPRINGS REHABILITATION HOSPITAL 1636 HIGDON FERRY ROAD HOT SPRINGS AR 71913 04T002 JOHNSON REGIONAL REHABILITATION CENTER 1100 EAST POPLAR ST. CLARKSVILLE AR 72830 04T014 WHITE COUNTY MEDICAL CENTER SOUTH 1200 SOUTH MAIN STREET SEARCY AR 72143 04T015 MENA REHABILITATION CENTER 311 N. MORROW MENA AR 71953 04T022 NORTHWEST MEDICAL CENTER INPATIENT REHAB 609 W. MAPLE AVE. SPRINGDALE AR 72764 04T027 BAXTER REGIONAL MEDICAL CENTER 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 04T036 BAPTIST HEALTH REHAB INSTITUTE - NORTH LITTLE ROCK 3333 SPRINGHILL DRIVE NORTH LITTLE ROCK AR 72117 04T039 ARKANSAS METHODIST HOSPITAL 900 WEST KINGS HIGHWAY PARAGOULD AR 72451 04T041 S. MARYS REGIONAL MEDICAL CENTER 1808 WEST MAIN STREET RUSSELLVILLE AR 72801 04T062 MERCY HOSPITAL FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72913 04T071 JEFFERSON REGIONAL MEDICAL CENTER 1600 WEST 40TH AVE. PINE BLUFF AR 71603 04T078 NATIONAL PARK MEDICAL CENTER 1910 MALVERN AVE. HOT SPRINGS AR 71901 04T084 SALINE MEMORIAL HOSPITAL 1 MEDICAL PARK DR. BENTON AR 72015 04T088 MEDICAL CENTER OF S ARKANSAS 700 WEST GROVE STREET EL DORADO AR 71730 04T118 NEA BAPTIST MEMORIAL HOSPITAL 4800 E JOHNSON AVE JONESBORO AR 72401 04T119 WHITE RIVER HEALTH SYSTEM 1710 HARRISON ST BATESVILLE AR 72501 033025 HEALTHSOUTH SCOTTSDALE REHABILITATION HOSPITAL 9630 EAST SHEA BOULEVARD SCOTTSDALE AZ 85260 033028 HEALTHSOUTH REHABILITATION INSTITUTE OF TUCSON 2650 NORTH WYATT DRIVE TUCSON AZ 85712 033029 SOUTHERN ARIZONA REGIONAL REHABILITATION HOSPITAL 1921 WEST HOSPITAL DRIVE TUCSON AZ 85704 033032 HEALTHSOUTH VALLEY OF THE SUN REHABILITATION 13460 NORTH 67TH AVENUE GLENDALE AZ 85304 033034 YUMA REHABILITATION HOSPITAL 901 WEST 24TH STREET YUMA AZ 85364 033036 MOUNTAIN VALLEY REGIONAL REHABILITATION HOSPITAL 3700 NORTH WINDSONG DRIVE PRESCOTT VALLEY AZ 86314 033037 HEALTHSOUTH EAST VALLEY REHABILITATION HOSPITAL 5652 EAST BASELINE ROAD MESA AZ 85206 033038 GLOBALREHAB - SCOTTSDALE, LLC 8850 EAST PIMA CENTER PARKWAY SCOTTSDALE AZ 85258 033040 DIGNITY HEALTH EAST VALLEY REHABILITATION HOSPITAL 1515 WEST CHANDLER BOULEVARD CHANDLER AZ 85224 03T002 BANNER UNIVERSITY MEDICINE 1012 E WILLETTA ST PHOENIX AZ 85006 03T010 CARONDELET ST. MARY'S HOSPITAL 1601 W. ST. MARY'S ROAD TUCSON AZ 85745

Page 1 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019

CCN IRF Name Address City State ZIP 03T011 CARONDELET ST JOSEPH'S INPATIENT REHABILITATION 350 N. WILMOT TUCSON AZ 85711 03T024 ST JOSEPHS HOSP 240 W THOMAS RD PHOENIX AZ 85013 03T030 PHOENIX BAPTIST HOSPITAL 2000 W. BETHANY HOME RD. PHOENIX AZ 85015 03T037 ST. LUKES ACUTE REHAB 1800 E VAN BUREN PHOENIX AZ 85006 03T038 SCOTTSDALE HEALTHCARE 7400 E OSBORN ROAD SCOTTSDALE AZ 85251 03T055 KINGMAN REGIONAL MEDICAL CENTER 3269 STOCKTON HILL RD. KINGMAN AZ 86401 03T061 BANNER BOSWELL MEDICAL CENTER - ACUTE REHABILITATI 10601 W SANTA FE DRIVE SUN CITY AZ 85351 03T085 NORTHWEST MEDICAL CENTER/CHS 6200 N LA CHOLLA BLVD TUCSON AZ 85741 03T088 BANNER BAYWOOD MEDICAL CENTER 6644 EAST BAYWOOD AVENUE MESA AZ 85206 03T093 DEL E. WEBB MEMORIAL HOSPITAL 14502 WEST MEEKER BLVD. SUN CITY WEST AZ 85375 03T103 MAYO CLINIC HOSPITAL 5777 E. MAYO BOULEVARD PHOENIX AZ 85054 03T114 NORTHWEST MED CTR ORO VALLEY 1551 E. TANGERINE RD. ORO VALLEY AZ 85755 03T117 VALLEY VIEW MEDICAL CENTER 5330 S HIGHWAY 95 FT MOHAVE AZ 86426 053031 HEALTHSOUTH BAKERSFIELD REHABILITATION HOSPITAL 5001 COMMERCE DRIVE BAKERSFIELD CA 93309 053032 SAN JOAQUIN VALLEY REHABILITATION HOSP 7173 N SHARON AVENUE FRESNO CA 93720 053034 HEALTHSOUTH TUSTIN REHABILITATION HOSPITAL 14851 YORBA STREET TUSTIN CA 92780 053037 BALLARD REHABILITATION HOSPITAL 1760 WEST 16TH ST SAN BERNARDINO CA 92411 053039 CALIFORNIA REHABILITATION INSTITUTE, LLC 2070 CENTURY PARK EAST LOS ANGELES CA 90067 053040 HEALTHSOUTH REHABILITATION HOSPITAL 1303 MABLE AVENUE MODESTO CA 95355 05T006 ST JOSEPH HOSPITAL 2200 HARRISON AVENUE EUREKA CA 95501 05T008 CALIFORNIA PACIFIC REGIONAL REHABILITATION CENTER P O BOX 7999 SAN FRANCISCO CA 94120 05T009 QUEEN OF THE VALLEY HOSPITAL 1000 TRANCAS ST NAPA CA 94558 05T017 MERCY GENERAL HOSPITAL 4001 J STREET SACRAMENTO CA 95819 05T024 SOUTH BAY REHABILITATION CTR 2400 EAST 4TH STREET NATIONAL CITY CA 91950 05T026 GROSSMONT HOSPITAL SHARP 5555 GROSSMONT CENTER DRIVE LA MESA CA 91942 05T038 SANTA CLARA VALLEY MEDICAL CENTER 751 S BASCOM AVE SAN JOSE CA 95128 05T039 ENLOE REHABILITATION CENTER 1531 ESPLANADE CHICO CA 95926 05T043 ALTA BATES SUMMIT MEDICAL CENTER 350 HAWTHORNE AVENUE OAKLAND CA 94609 05T057 KAWEAH DELTA REHABILITATION HOSPITAL 840 S. AKERS RD VISALIA CA 93277 05T058 GLENDALE MEMORIAL HOSPITAL 1420 S. CENTRAL AVE GLENDALE CA 91204 05T060 LEON S PETERS REHABILATION 2823 FRESNO ST FRESNO CA 93721 05T063 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER 1300 N. VERMONT AVENUE LOS ANGELES CA 90027 05T073 FOUNDATION REHAB CENTER 975 SERENO DR. VALLEJO CA 94589 05T078 PROVIDENCE LITTLE CO OF MARY MEDICAL CTR SAN PEDRO 1300 W. SEVENTH STREET SAN PEDRO CA 90732 05T082 ST JOHNS REGIONAL MEDICAL CENTER 1600 NORTH ROSE AVENUE OXNARD CA 93030 05T100 SHARP MEMORIAL REHABILITATION CENTER 2999 HEALTH CENTER DRIVE SAN DIEGO CA 92123 05T103 WHITE MEMORIAL MEDICAL CENTER 1720 EAST CESAR CHAVEZ AVENUE LOS ANGELOS CA 90033 05T107 MARIAN REGIONAL MEDICAL CENTER 1400 E CHURCH STREET CA 93454 05T115 PALOMAR MEDICAL CENTER 555 EAST VALLEY PARKWAY ESCONDIDO CA 92025 05T116 NORTHRIDGE HOSPITAL MEDICAL CENTER 18300 ROSCOE BLVD. NORTHRIDGE CA 91328 05T126 VALLEY PRESBYTERIAN HOSPITAL REHABILITATION CENTER 15107 VANOWEN STREET VAN NUYS CA 91405 05T128 TRI-CITY MEDICAL CENTER 4002 VISTA WAY OCEANSIDE CA 92056 05T135 SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY 3828 DELMAS TERRACE CULVER CITY CA 90231 05T145 COMM HOSP MONTEREY PENINSULA 23625 HOLMAN HWY MONTEREY CA 93942 05T152 SAINT FRANCIS MEMORIAL HOSPITAL 900 HYDE ST SAN FRANCISCO CA 94109 05T168 ST. JUDE MEDICAL CENTER 101 E. VALENCIA MESA DRIVE FULLERTON CA 92835 05T169 PRESBYTERIAN INTERCOMMUNITY 12401 WASHINGTON BLVD WHITTIER CA 90602 05T174 SANTA ROSA MEMORIAL HOSPITAL 1165 MONTGOMERY DR. SANTA ROSA CA 95405 05T180 JOHN MUIR MEDICAL CENTER 1601 YGNACIO VALLEY ROAD WALNUT CREEK CA 94598 05T191 ST MARY MEDICAL CENTER 1050 LINDEN AVE LONG BEACH CA 90813 05T204 PALMDALE REGIONAL MEDICAL CTR 38600 MEDICAL CENTER DR PALMDALE CA 93551 05T235 PROVIDENCE ST JOSEPH MED CTR 501 S BUENA VISTA ST BURBANK CA 91505 05T238 METHODIST HOSP S CALIFORNIA 300 W HUNTINGTON DR ARCADIA CA 91007 05T239 GLENDALE ADVENTIST MEDICAL CTR 1509 WILSON TERRACE GLENDALE CA 91206

Page 2 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019

CCN IRF Name Address City State ZIP 05T242 DOMINICAN HOSPITAL 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 05T243 DESERT REGIONAL MEDICAL CENTER 1150 N. INDIAN CANYON DR PALM SPRINGS CA 92263 05T248 SAM KARAS ARU - NATIVIDAD 1441 CONSTITUTION BOULEVARD SALINAS CA 93906 05T278 PROVIDENCE HOLY CROSS MEDICAL CENTER 15031 RINALDI ST MISSION HILLS CA 91345 05T281 ALHAMBRA HOSPITAL MEDICAL CENTER 100 S. RAYMOND AVENUE ALHAMBRA CA 91801 05T308 EL CAMINO HOSP OF LOS GATOS 355 DARDANELLI LOS GATOS CA 95032 05T309 SUTTER ROSEVILLE MEDICAL CENTER 6 MEDICAL PLAZA DRIVE ROSEVILLE CA 95661 05T320 FAIRMONT HOSPITAL 15400 FOOTHILL BLVD SAN LEANDRO CA 94578 05T327 LOMA LINDA UNIVERSITY MEDICAL CENTER 11234 ANDERSON ST. LOMA LINDA CA 92354 05T336 LODI MEMORIAL HOSPITAL-ADVENTIST HEALTH 975 SOUTH FAIRMONT AVE LODI CA 95240 05T348 UNIV OF CA IRVINE MED CTR 101 THE CITY DRIVE ORANGE CA 92868 05T380 GOOD SAMARITAN HOSPITAL 15891 LOS-GATOS-ALMADEN ROAD SAN JOSE CA 95032 05T382 CITRUS VALLEY MEDICAL CENTER-VQ CAMPUS 1115 S. SUNSET AVENUE WEST COVINA CA 91790 05T396 COTTAGE REHABILITATION HOSPITAL PO BOX 689 SANTA BARBARA CA 93105 05T417 SUTTER COAST HOSPITAL 800 EAST WASHINGTON BLVD CRESCENT CITY CA 95531 05T438 HUNTINGTON HOSPITAL 100 W. CALIFORNIA BLVD PASADENA CA 91105 05T457 ST MARYS MEDICAL CENTER 450 STANYAN ST. SAN FRANCISCO CA 94117 05T485 MEMORIACARE LONG BEACH MEDICAL CENTER 2801 ATLANTIC AVENUE LONG BEACH CA 90806 05T502 ST. VINCENT MEDICAL CENTER 2131 W. THIRD STREET LOS ANGELES CA 90057 05T503 SCRIPPS MEMORIAL ENCINITAS 354 SANTA FE DR ENCINITAS CA 92024 05T549 LOS ROBLES HOSPITAL MEDICAL CENTER 150 VIA MERIDA WESTLAKE VILLAGE CA 91362 05T567 MISSION HOSPITAL 27700 MEDICAL CENTER RD MISSION VIEJO CA 92691 05T573 EISENHOWER MEDICAL CENTER 39-000 BOB HOPE DRIVE RANCHO MIRAGE CA 92270 05T599 UC DAVIS MEDICAL CENTER 2315 STOCKTON BLVD. SACRAMENTO CA 95817 05T624 MAYO NEWHALL MEM HOSP 23834 MCBEAN PKWY VALENCIA CA 91355 05T668 LAGUNA HONDA HOSPITAL 375 LAGUNA HONDA BLVD. SAN FRANCISCO CA 94116 05T696 UNIVERSITY OF S CALIFORNIA 1500 SAN PABLO ST LOS ANGELES CA 90033 05T717 LAC/RANCHO LOS AMIGOS NATIONAL MED CTR 7601 E IMPERIAL HWY DOWNEY CA 90242 05T737 GARFIELD MEDICAL CENTER 525 N. GARFIELD AVENUE MONTEREY PARK CA 91754 05T739 CENTINELA HOSPITAL MEDICAL CTR 1101 MEDICAL CENTER BOULEVARD INGLEWOOD CA 90301 05T757 ALVARADO HOSPITAL LLC 6645 ALVARADO RD SAN DIEGO CA 92120 05T782 CASA COLINA HOSP FOR REHAB MEDICINE 255 E BONITA AVE POMONA CA 91769 063027 SPALDING REHABILITATION HOSPITAL 900 POTOMAC STREET AURORA CO 80011 063030 HEALTHSOUTH REHABILITATION HOSPITAL OF CO SPGS 325 PARKSIDE DRIVE COLORADO SPRINGS CO 80910 063033 NORTHERN COLORADO REHABILITATION HOSPITAL INC 4401 UNION STREET JOHNSTOWN CO 80534 063034 HEALTHSOUTH REHABILITATION HOSPITAL OF LITTLETON 1001 WEST MINERAL AVENUE LITTLETON CO 80120 06T006 MONTROSE MEMORIAL HOSPITAL 800 S 3RD ST MONTROSE CO 81401 06T011 DENVER HEALTH MEDICAL CENTER 777 BANNOCK ST. DENVER CO 80204 06T015 CENTURA HEALTH-ST. ANTHONY HOSPITAL 11600 W 2ND PLACE LAKEWOOD CO 80228 06T020 PARKVIEW MEDICAL CENTER 400 W. 16TH ST. PUEBLO CO 81003 06T022 UNIVERSITY OF COLORADO HEALTH - MEMORIAL HEALTH MEMORIAL HOSPITAL CENTRAL COLORADO SPRINGS CO 80909 06T023 ST. MARYS HOSPITAL AND MEDICAL CENTER 2635 NORTH SEVENTH STREET GRAND JUNCTION CO 81502 06T024 UNIVERSITY OF COLORADO HOSP 12401 E 17TH AVE CMS F-728 AURORA CO 80045 06T027 BOULDER COMMUNITY HOSPITAL NORTH BROADWAY AND BALSAM BOULDER CO 80301 06T031 CAPRON NEURO AND TRAUMA REHABILITATION CENTER 6001 E WOODMEN R COLORADO SPRINGS CO 80923 06T034 SWEDISH GENERAL REHABILITATION 501 E. HAMPDEN AVE. ENGLEWOOD CO 80113 06T064 ADVENTIST HOSPITAL 2525 S. DOWNING ST. DENVER CO 80210 06T113 CENTER FOR REHABILITATION 7700 S BROADWAY LITTLETON CO 80122 06T119 MEDICAL CENTER OF THE ROCKIES 2500 ROCKY MOUNTAIN AVE LOVELAND CO 80538 07T006 THE ONE HOSPITAL PLAZA STAMFORD CT 06904 07T007 LAWRENCE MEMORIAL HOSPITAL 365 MONTAUK AVE NEW LONDON CT 06320 07T022 YALE NEW HAVEN HOSPITAL 300 SEASIDE AVENUE MILFORD CT 06460 07T028 MF91 2800 MAIN STREET BRIDGEPORT CT 06606 07T033 DANBURY HOSPITAL 24 HOSPITAL AVENUE DANBURY CT 06810

Page 3 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019

CCN IRF Name Address City State ZIP 093025 MEDSTAR NATIONAL REHABILITATION HOSPITAL 102 IRVING STREET NW WASHINGTON DC 20010 09T001 THE GEORGE WASHINGTON UNIV HOSP 900 23RD ST NW WASHINGTON DC 20037 083026 HEALTHSOUTH REHABILITATION HOSPITAL OF MIDDLETOWN 250 EAST HAMPDEN ROAD MIDDLETOWN DE 19709 08T001 CTR FOR REHABILITATION AT WILMINGTON HOSPITAL 501 WEST 14TH STREET WILMINGTON DE 19899 08T009 MILFORD MEMORIAL HOSPITAL 21 W CLARKE AVE MILFORD DE 19963 103026 ST CATHERINE'S REHABILITATION HOSPITAL 1050 NE 125TH ST NORTH MIAMI FL 33161 103027 ST ANTHONY'S REHABILITATION HOSPITAL 3487 NW 30TH ST LAUDERDALE LAKES FL 33311 103028 HEALTHSOUTH SUNRISE REHABILITATION HOSPITAL 4399 NOB HILL RD SUNRISE FL 33351 103031 HEALTHSOUTH REHABILITATION HOSPITAL OF SARASOTA 6400 EDGELAKE DR SARASOTA FL 34240 103032 HEALTHSOUTH TREASURE COAST REHABILITATION HOSPITAL 1600 37TH ST VERO BEACH FL 32960 103033 HEALTHSOUTH REHABILITATION HOSPITAL OF TALLAHASSEE 1675 RIGGINS RD TALLAHASSEE FL 32308 103034 HEALTHSOUTH SEA PINES REHABILITATION HOSPITAL 101 E FLORIDA AVENUE MELBOURNE FL 32901 103036 WEST GABLES REHABILITATION HOSPITAL 2525 SW 75TH AVE MIAMI FL 33155 103037 HEALTHSOUTH REHABILITATION HOSPITAL OF LARGO 901 CLEARWATER LARGO RD N LARGO FL 34641 103038 HEALTHSOUTH REHABILITATION HOSPITAL OF MIAMI 20601 OLD CUTLER RD MIAMI FL 33189 103039 BROOKS REHABILITATION HOSPITAL 3599 UNIVERSITY BLVD S JACKSONVILLE FL 32216 103040 HEALTHSOUTH EMERALD COAST REHABILITATION HOSPITAL 1847 FLORIDA AVE PANAMA CITY FL 32403 103042 HEALTHSOUTH REHABILITATION HOSPITAL OF SPRING HILL 12440 CORTEZ BLVD BROOKSVILLE FL 34613 103043 HEALTHSOUTH REHABILITATION HOSPITAL OF OCALA 2275 SW 22ND LANE OCALA FL 34471 103044 HEALTHSOUTH REHABILITATION HOSPITAL AT MARTIN HEAL 5850 SE COMMUNITY DR STUART FL 34997 103045 HEALTHSOUTH REHABILITATION HOSPITAL OF ALTAMONTE S 831 S STATE RD 434 ALTAMONTE FL 32714 10T002 BETHESDA MEMORIAL HOSPITAL 2815 SOUTH SEACREST BLVD BOYNTON BEACH FL 33435 10T006 ORLANDO REGIONAL REHAB INSTITUTE 1414 KUHL AVE ORLANDO FL 32806 10T007 FLORIDA HOSPITAL REHABILITATION AND SPORTS MEDICIN 5165 ADANSON ORLANDO FL 32804 10T008 BAPTIST HOSPITAL DAVIS CTR 8900 N KENDALL DRIVE MIAMI FL 33176 10T012 THE REHABILITATION HOSPITAL 2776 CLEVELAND AVE FORT MYERS FL 33902 10T017 HALIFAX HEALTH 350 N. CLYDE MORRIS BLVD DAYTONA BEACH FL 32114 10T018 NCH HEALTHCARE SYSTEM 11190 HEALTHPARK BLVD NAPLES FL 34110 10T022 JACKSON MEMORIAL HOSPITAL 1611 N.W. 12 AVENUE MIAMI FL 33136 10T032 BAYFRONT HEALTH ST. PETERSBURG 701 6TH ST SOUTH ST. PETERSBURG FL 33701 10T034 MOUNT SINAI MEDICAL CENTER INPATIENT REHAB DEPT. MIAMI BEACH FL 33140 10T038 MEMORIAL HOSPITAL 3501 JOHNSON ST HOLLYWOOD FL 33021 10T063 MORTON PLANT NORTH BAY HOSPITAL 6600 MADISON STREET NEW PORT RICHEY FL 34652 10T073 HOLY CROSS HOSPITAL 4725 NORTH FEDERAL HIGHWAY FORT LAUDERDALE FL 33308 10T086 BROWARD HEALTH NORTH-INPATIENT REHABILITATION UNIT 201 EAST SAMPLE ROAD DEERFIELD BEACH FL 33064 10T087 SARASOTA MEMORIAL HOSPITAL 1700 SOUTH TAMIAMI TRAIL SARASOTA FL 34239 10T113 SHANDS REHAB HOSPITAL 4101 NW 89TH BOULEVARD GAINESVILLE FL 32606 10T126 PALMS OF PASADENA HOSPITAL 1501 PASADENA AVE S ST PETERSBURG FL 33707 10T128 TAMPA GENERAL HOSPITAL 1 TAMPA GENERAL CIRCLE TAMPA FL 33606 10T157 LAKELAND REGIONAL HEALTH 1324 LAKELAND HILLS BLVD LAKELAND FL 33805 10T161 CENTRAL FLORIDA REGIONAL HOSPITAL 1401 W SEMINOLE BLVD SANFORD FL 32771 10T167 PLANTATION GENERAL HOSPITAL 401 NW 42ND AVE PLANTATION FL 33317 10T173 FLORIDA HOSPITAL TAMPA 3100 EAST FLETCHER AVENUE TAMPA FL 33613 10T213 BLAKE MEDICAL CENTER 2020 59TH ST W BRADENTON FL 34209 10T223 FORT WALTON BEACH MEDICAL CENTER 1000 MAR WALT DRIVE FORT WALTON BEACH FL 32547 10T226 ORANGE PARK REHABILITATION CTR 1883 KINGSLEY AVENUE ORANGE PARK FL 32073 10T231 WEST FLORIDA REHAB INSTITUTE 8391 NORTH DAVIS HIGHWAY PENSACOLA FL 32514 10T236 FAWCETT MEMORIAL HOSPITAL 21298 OLEAN BOULEVARD PORT CHARLOTTE FL 33949 10T246 LAWNWOOD PHYSICAL REHAB CENTER 1860 N. LAWNWOOD CIR. FORT PIERCE FL 34950 10T248 LARGO MEDICAL CENTER 2025 INDIAN ROCKS ROAD LARGO FL 33774 10T258 DELRAY MEDICAL CENTER 5352 LINTON BLVD DELRAY BEACH FL 33484 10T288 ST MARY'S WEST PALM BEACH ST. MARY'S MEDICAL CENTER WEST PALM BEACH FL 33407 10T290 TVRH REHABILITATION HOSPITAL 1451 EL CAMINO REAL THE VILLAGES FL 32159 113028 ROOSEVELT WARM SPRINGS REHABILITATION HOSPITAL 6135 ROOSEVELT HIGHWAY, P O BOX 280 WARM SPRINGS GA 31830 113029 REHABILITATION HOSPITAL, NAVICENT HEALTH 3351 NORTHSIDE DRIVE MACON GA 31210

Page 4 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019

CCN IRF Name Address City State ZIP 113030 HEALTHSOUTH WALTON REHABILITATION HOSPITAL 1355 INDEPENDENCE DRIVE AUGUSTA GA 30901 113031 EMORY REHABILITATION HOSPITAL 1441 CLIFTON ROAD ATLANTA GA 30322 113032 HEALTHSOUTH REHABILITATION HOSPITAL OF NEWNAN 2101 EAST NEWNAN CROSSING BLVD NEWNAN GA 30265 113033 REHABILITATION HOSPITAL OF SAVANNAH 6510 SEAWRIGHT DRIVE SAVANNAH GA 31404 11T003 MEMORIAL SATILLA HOSPITAL 2500 SATILLA PARKWAY WAYCROSS GA 31503 11T006 REHAB MEDICINE ST. MARYS ATHENS 1230 BAXTER STREET ATHENS GA 30606 11T007 PHOEBE PUTNEY MEMORIAL HOSPITAL 2000 PALMYRA RD ALBANY GA 31701 11T024 THE REHAB CENTER AT CANDLER 5353 ST. SAVANNAH GA 31405 11T029 NORTHEAST GEORGIA MEDICAL CENTER 743 SPRING STREET GAINESVILLE GA 30501 11T035 WELLSTAR KENNESTONE INPATIENT REHAB 677 CHURCH STREET MARIETTA GA 30060 11T038 JOHN D. ARCHBOLD MEMORIAL HOSPITAL GORDON AVE. @ MIMOSA DRIVE THOMASVILLE GA 31792 11T043 THE REHAB CENTER AT ST. JOSEPHS 11705 MERCY BLVD. SAVANNAH GA 31419 11T054 FLOYD MEDICAL CENTER 304 TURNER MCCALL BLVD ROME GA 30162 11T076 DEKALB MEDICAL 2701 NORTH DECATUR ROAD DECATUR GA 30033 11T115 WELLSTAR ATLANTA MEDICAL CENTER 303 PARKWAY DR. NE ATLANTA GA 30312 11T122 SOUTH GEORGIA MEDICAL CENTER 2501 N PATTERSON ST VALDOSTA GA 31603 11T125 FAIRVIEW PARK HOSPITAL 200 INDUSTRIAL BLVD DUBLIN GA 31040 11T143 WELLSTAR COBB HOSPITAL 3950 AUSTELL ROAD AUSTELL GA 30106 11T164 COLISEUM REHABILITATION CENTER 350 HOSPITAL DRIVE MACON GA 31217 11T168 REDMOND REGIONAL MEDICAL CENTER 501 REDMOND ROAD ROME GA 30165 11T177 DOCTORS HOSPITAL 3651 WHEELER ROAD AUGUSTA GA 30909 11T192 EASTSIDE MEDICAL CENTER 2160 FOUNTAIN DRIVE SNELLVILLE GA 30078 11T198 WELLSTAR N FULTON HOSPITAL 3000 HOSPITAL BLVD. ROSWELL GA 30076 11T200 NORTHSIDE MEDICAL CENTER 100 FRIST COURT GA 31908 123025 REHABILITATION HOSPITAL OF THE PACIFIC 226 N KUAKINI STREET HONOLULU HI 96817 16T030 MARY GREELEY MEDICAL CENTER 1111 DUFF AVENUE AMES IA 50010 16T033 GENESIS MEDICAL CENTER 1227 E. RUSHOLME ST DAVENPORT IA 52803 16T045 ST. LUKES HOSPITAL 1026 A AVENUE NE CEDAR RAPIDS IA 52402 16T057 GREAT RIVER MEDICAL CENTER 1221 S. GEAR AVE. WEST BURLINGTON IA 52655 16T064 MERCY MEDICAL CENTER NORTH IOWA 1000 4TH ST SW MASON CITY IA 50401 16T069 MERCY MEDICAL CENTER - DUBUQUE 250 MERCY DRIVE DUBUQUE IA 52001 16T079 MERCY MEDICAL CENTER - CEDAR RAPIDS 701 TENTH STREET SE CEDAR RAPIDS IA 52403 16T082 YOUNKER REHABILITATION 1200 PLEASANT ST DES MOINES IA 50309 16T083 MERCY MEDICAL CENTER - DES MOINES 1111 6TH AVE. DES MOINES IA 50314 16T089 OTTUMWA REGIONAL HEALTH CENTER 1001 PENNSYLVANIA AVENUE OTTUMWA IA 52501 16T110 UNITYPOINT HEALTH ALLEN HOSP 1825 LOGAN AVE WATERLOO IA 50703 16T117 UNITYPOINT FINLEY HOSPITAL 350 N GRANDVIEW AVE DUBUQUE IA 52001 16T146 ST. LUKES REGIONAL MEDICAL CENTER 2720 STONE PARK BLVD SIOUX CITY IA 51104 16T153 MERCY MEDICAL CENTER - SIOUX CITY 801 5TH STREET SIOUX CITY IA 51101 133027 REHABILITATION HOSPITAL OF THE NORTHWEST 3372 E JENALAN AVE POST FALLS ID 83854 13T002 ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER P.O BOX 409 TWIN FALLS ID 83301 13T006 ST. LUKE'S REHABILITATION HOSPITAL 600 N ROBBINS ROAD, PO BOX 110 BOISE ID 83701 13T007 SAINT ALPHONSUS REGIONAL MEDICAL CENTER 1055 NORTH CURTIS ROAD BOISE ID 83706 13T018 EASTERN IDAHO REGIONAL MEDICAL CENTER 3100 CHANNING WAY IDAHO FALLS ID 83403 13T028 PORTNEUF MEDICAL CENTER 777 HOSPITAL WAY POCATELLO ID 83202 143025 SCHWAB REHABILITATION HOSPITAL 1401 S CALIFORNIA BLVD CHICAGO IL 60608 143026 SHIRLEY RYAN ABILITYLAB 355 E ERIE ST CHICAGO IL 60611 143027 MARIANJOY REHABILITATION HOSPITAL 26 W 171 ROOSEVELT ROAD WHEATON IL 60187 143028 VAN MATRE HEALTHSOUTH REHABILITATION HOSPITAL 950 S MULFORD RD ROCKFORD IL 61108 14T007 PRESENCE ST JOSEPH MEDICAL CENTER 333 N. MADISON JOLIET IL 60435 14T008 GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK IL 60160 14T010 EVANSTON HOSPITAL 2650 RIDGE AVENUE EVANSTON IL 60201 14T011 HERRIN HOSPITAL HERRIN HOSPITAL HERRIN IL 62948 14T015 BLESSING HOSPITAL BROADWAY @ 11TH QUINCY IL 62305

Page 5 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019

CCN IRF Name Address City State ZIP 14T029 RUSH-COPLEY MEDICAL CENTER 2000 WEST OGDEN AVE. AURORA IL 60506 14T046 GOOD SAMARITAN REGIONAL HEALTH CENTER 605 N 12TH ST MT. VERNON IL 62864 14T054 MACNEAL HOSPITAL 3249 S. OAK PARK AVE BERWYN IL 60402 14T063 RUSH OAK PARK HOSPITAL 520 S. MAPLE OAK PARK IL 60304 14T065 PAULSON REHAB NETWORK INPATIENT REHABILITATION UNI 5101 SOUTH WILLOW SPRINGS RD LAGRANGE IL 60525 14T067 SAINT FRANCIS MEDICAL CENTER 530 N.E. GLEN OAK AVE PEORIA IL 61637 14T082 WEISS MEMORIAL HOSPITAL 4646 N. MARINE DRIVE CHICAGO IL 60640 14T091 CARLE FOUNDATION HOSPITAL 611 W. PARK URBANA IL 61801 14T113 OSF HEART OF MARY MEDICAL CTR 1400 WEST PARK ST. URBANA IL 61801 14T114 SWEDISH COVENANT HOSPITAL SWEDISH COVENANT HOSPITAL CHICAGO IL 60625 14T116 CENTEGRA HOSPITAL - MCHENRY 4201 MEDICAL CENTER DRIVE MCHENRY IL 60050 14T117 PRESENCE RESURRECTION MEDICAL CENTER 7435 W TALCOTT AVE CHICAGO IL 60631 14T119 JOHNSTON R BOWMAN HEALTH CTR. 710 S. PAULINA, 420 CHICAGO IL 60612 14T125 GATEWAY REGIONAL MEDICAL CTR 2100 MADISON AVE GRANITE CITY IL 62040 14T127 BROMENN REGIONAL MEDICAL CENTER BROMENN REGIONAL MEDICAL CENTE BLOOMINGTON IL 61702 14T148 MEMORIAL MEDICAL CENTER 701 N 1ST ST SPRINGFIELD IL 62781 14T158 MERCY HOSPITAL REHABILITATION UNIT 2525 SOUTH MICHIGAN AVE CHICAGO IL 60616 14T172 ST. JAMES HOSPITAL 1423 CHICAGO ROAD CHICAGO HEIGHTS IL 60411 14T180 ST MARY AND ST ELIZABETH MED CTR 2233 WEST DIVISION STREET CHICAGO IL 60622 14T182 ADVOCATE ILLINOIS MASONIC MEDICAL CENTER 836 W. WELLINGTON STREET CHICAGO IL 60657 14T186 RIVERSIDE MEDICAL CENTER 350 N WALL KANKAKEE IL 60901 14T187 ST. ELIZABETH HOSPITAL REHAB 1 ST. ELIZABETH WAY O'FALLON IL 62269 14T191 INGALLS MEMORIAL HOSPITAL ONE INGALLS DRIVE HARVEY IL 60426 14T208 ADVOCATE CHRIST MEDICAL CENTER ADVOCATE CHRIST MEDICAL CENTER OAK LAWN IL 60453 14T209 UNITYPOINT HEALTH METHODIST/ 221 NE GLEN OAK AVE PEORIA IL 61636 14T213 SILVER CROSS HOSPITAL 1900 SILVER CROSS BLVD. NEW LENOX IL 60451 14T217 PRESENCE ST JOSEPH - ELGIN 77 N. AIRLITE STREET ELGIN IL 60123 14T223 ADVOCATE LUTHERAN GENERAL HOSPITAL 1775 WEST DEMPTER PARK RIDGE IL 60068 14T224 ST JOSEPH HOSPITAL 2900 N LAKE SHORE DRIVE CHICAGO IL 60657 14T240 WESTLAKE HOSPITAL 1225 WEST LAKE STREET MELROSE PARK IL 60160 14T252 NORTHWEST COMMUNITY HEALTHCARE 800 WEST CENTRAL ROAD ARLINGTON HEIGHTS IL 60005 14T258 ALEXIAN BROTHERS MEDICAL CENTER 800 W BIESTERFIELD RD ELK GROVE VILLAGE IL 60007 14T280 TRINITY MEDICAL CENTER 2701-17TH STREET ROCK ISLAND IL 61201 153025 HEALTHSOUTH DEACONESS REHABILITATION HOSPITAL 4100 COVERT AVE EVANSVILLE IN 47714 153028 REHABILITATION HOSPITAL OF INDIANA INC 4141 SHORE DR INDIANAPOLIS IN 46254 153030 REHABILITATION HOSPITAL OF FORT WAYNE GENERAL PAR 7970 W JEFFERSON BLVD FORT WAYNE IN 46804 153037 SOUTHERN INDIANA REHABILITATION HOSPITAL 3104 BLACKISTON BLVD NEW ALBANY IN 47150 153039 COMMUNITY HOWARD SPECIALTY HOSPITAL 829 N DIXON RD KOKOMO IN 46901 153042 LAFAYETTE REGIONAL REHABILITATION HOSPITAL 950 PARK EAST BLVD LAFAYETTE IN 47905 153043 COMMUNITY HEALTH NETWORK REHABILITATION HOSPITAL 7343 CLEARVISTA DRIVE INDIANAPOLIS IN 46256 15T001 JOHNSON MEMORIAL HOSPITAL TODD-AIKENS REHAB CARE CENTER FRANKLIN IN 46131 15T002 METHODIST NORTHLAKE 600 GRANT ST GARY IN 46402 15T008 THE REHABILITATION CENTER AT ST. CATHERINE HOSPITA 4321 FIR STREET EAST CHICAGO IN 46312 15T010 ST VINCENT KOKOMO HOSPITAL HEALTH CENTER 1907 SYCAMORE STREET KOKOMO IN 46901 15T011 MARION ARU 441 N. WABASH AVENUE MARION IN 46952 15T012 ST. JOSEPH REGIONAL MEDICAL CENTER 60205 BODNAR BLVD MISHAWAKA IN 46544 15T015 FRANCISCAN ST. ANTHONY HEALTH MICHIGAN CITY 301 W. HOMER STREET MICHIGAN CITY IN 46360 15T021 PARKVIEW HOSPITAL 2200 RANDALLIA DRIVE FORT WAYNE IN 46805 15T023 UNION HOSPITAL MEDICAL REHABILITATION UNIT TERRE HAUTE IN 47804 15T034 ST. MARY MEDICAL CENTER INC 1500 S. LAKE PARK AVENUE HOBART IN 46342 15T035 PORTER HOSPITAL 3630 WILLOWCREEK RD PORTAGE IN 46368 15T042 GOOD SAMARITAN HOSPITAL 520 SOUTH SEVENTH VINCENNES IN 47591 15T046 TERRE HAUTE REGIONAL HOSPITAL 3901 SOUTH 7TH STREET TERRE HAUTE IN 47802 15T048 REID HOSPITAL AND HEALTH CARE SERVICES 1100 REID PARKWAY RICHMOND IN 47374

Page 6 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019

CCN IRF Name Address City State ZIP 15T051 IU HEALTH BLOOMINGTON INC 601 W 2ND ST BLOOMINGTON IN 47402 15T058 MEMORIAL REGIONAL REHAB CENTER 615 N MICHIGAN ST SOUTH BEND IN 46601 15T059 RIVERVIEW HOSPITAL 395 WESTFIELD ROAD NOBLESVILLE IN 46060 15T084 ST VINCENT HOSP HEALTH CARE 2001 W 86TH ST INDIANAPOLIS IN 46260 15T088 BENNETT REHABILITATION CENTER 2015 JACKSON STREET ANDERSON IN 46016 15T089 IU HEALTH BALL MEMORIAL HOSP 2401 UNIVERSITY AVE MUNCIE IN 47303 15T090 FRANCISCAN HEALTH DYER HAMMOND 5454 HOHMAN AVE. HAMMOND IN 46320 15T100 ST. VINCENT EVANSVILLE 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 15T109 ST. ELIZABETH INPATIENT REHABILITATION CENTER 1501 HARTFORD ST. LAFAYETTE IN 47904 15T112 COLUMBUS REGIONAL HOSPITAL 2400 EAST 17TH ST COLUMBUS IN 47201 15T115 MEMORIAL HOSPITAL AND HEALTH CARE CENTER 800 W 9TH ST JASPER IN 47546 15T125 COMMUNITY HOSPITAL 901 MACARTHUR BLVD MUNSTER IN 46321 15T162 FRANCISCAN HEALTH INDIANAPOLIS 8111 S EMERSON AVE INDIANAPOLIS IN 46237 173025 THE KANSAS REHABILITATION HOSPITAL 1504 SW 8TH AVENUE TOPEKA KS 66606 173026 MIDAMERICA REHABILITATION HOSPITAL 5701 W 110TH STREET OVERLAND PARK KS 66211 173027 WESLEY REHABILITATION HOSPITAL 8338 WEST 13TH STREET WICHITA KS 67212 173028 VIA CHRISTI REHABILITATION HOSPITAL INC 1151 N ROCK ROAD WICHITA KS 67206 173032 REHABILITATION HOSPITAL OF OVERLAND PARK 5100 INDIAN CREEK PARKWAY OVERLAND PARK KS 66207 173033 MEADOWBROOK REHABILITATION HOSPITAL 427 WEST MAIN STREET GARDNER KS 66030 17R384 NEWMAN REGIONAL HEALTH 1201 W. 12TH EMPORIA KS 66801 17T006 VIA CHRISTI HOSP PITTSBURG 1102 E. CENTENNIAL PITTSBURG KS 66762 17T012 SALINA REGIONAL HEALTH CENTER 400 S SANTA FE SALINA KS 67402 17T016 UKHS-ST. FRANCIS CAMPUS 1700 SW 7TH ST TOPEKA KS 66606 17T020 HUTCHINSON HOSPITAL CORP 1701 E. 23RD AVE. HUTCHINSON KS 67502 17T023 ST. CATHERINE HOSPITAL 401 EAST SPRUCE ST. GARDEN CITY KS 67846 17T040 KANSAS UNIVERSITY REHAB 3901 RAINBOW BOULEVARD KANSAS CITY KS 66160 17T103 MEDICAL CENTER 600 MEDICAL CENTER DRIVE NEWTON KS 67114 17T120 LABETTE COUNTY MEDICAL CENTER 1902 SOUTH U.S HWY 59 PARSONS KS 67357 17T137 LAWRENCE MEMORIAL HOSPITAL 325 MAINE STREET LAWRENCE KS 66044 17T142 VIA CHRISTI HOSP MANHATTAN 1823 COLLEGE AVE MANHATTAN KS 66502 17T182 MENORAH MEDICAL CENTER 5721 WEST 119TH STREET OVERLAND PARK KS 66209 17T185 SAINT LUKES SOUTH HOSPITAL 12300 METCALF OVERLAND PARK KS 66213 17T200 VIA CHRISTI REHAB UNIT 14800 W ST TERESA WICHITA KS 67235 183026 CARDINAL HILL REHABILITATION HOSPITAL 2050 VERSAILLES ROAD LEXINGTON KY 40504 183027 HEALTHSOUTH NORTHERN KENTUCKY REHABILITATION HOSPI 201 MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017 183028 HEALTHSOUTH LAKEVIEW REHAB HOSPITAL OF CENTRAL KY 134 HEARTLAND DRIVE ELIZABETHTOWN KY 42701 183029 SOUTHERN KENTUCKY REHABILITATION HOSPITAL 1300 CAMPBELL LANE BOWLING KY 42104 183030 GATEWAY REHABILITATION HOSPITAL 5940 MERCHANTS STREET FLORENCE KY 41042 18T018 SCR INPATIENT REHAB UNIT 222 MEDICAL CIRCLE MOREHEAD KY 40351 18T027 MURRAY CALLOWAY COUNTY HOSPITAL 803 POPLAR STREET MURRAY KY 42071 18T029 HAZARD ARH REGIONAL MEDICAL CENTER 100 MEDICAL CENTER DRIVE HAZARD KY 41701 18T038 OWENSBORO HEALTH REGIONAL HOSPITAL REGIONAL REHAB CENTER OWENSBORO KY 42303 18T040 FRAZIER REHAB INSTITUTE 220 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 18T044 PIKEVILLE MEDICAL CENTER 911 BYPASS RD PIKEVILLE KY 41501 18T080 BAPTIST HEALTH - CORBIN 1 TRILLIUM WAY CORBIN KY 40701 18T093 BAPTIST HEALTH MADISONVILLE 900 HOSPITAL DRIVE MADISONVILLE KY 42431 18T102 LOURDES REHABILITATION CENTER 1530 LONE OAK ROAD PADUCAH KY 42003 18T130 BAPTIST HEALTH - LOUISVILLE ACUTE REHAB PROGRAM 4002 KRESGE WAY LOUISVILLE KY 40207 18T132 LAKE CUMBERLAND REGIONAL HOSPITAL 305 LANGDON STREET SOMERSET KY 42501 193028 BATON ROUGE REHABILITATION HOSPITAL, LLC 8595 UNITED PLAZA BLVD BATON ROUGE LA 70809 193031 HEALTHSOUTH REHABILITATION HOSPITAL OF ALEXANDRIA 104 NORTH THIRD STREET ALEXANDRIA LA 71301 193044 NORTH OAKS REHABILITATION HOSPITAL, L L C 1900 S MORRISON BLVD HAMMOND LA 70403 193050 TRI PARISH REHABILITATION HOSPITAL L L C 8088 HAWKS RD LEESVILLE LA 71446 193058 RIVERBEND REHABILITATION HOSPITAL 4310 SOUTH GRAND STREET MONROE LA 71202

Page 7 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019

CCN IRF Name Address City State ZIP 193069 STERLINGTON REHABILITATION HOSPITAL 370 W HICKORY STREET BASTROP LA 71220 193070 ACCORD REHABILITATION HOSPITAL 59213 RIVER WEST DRIVE PLAQUEMINE LA 70764 193074 UNITED MEDICAL HEALTHWEST-NEW ORLEANS 3201 WALL BLVD, STE B GRETNA LA 70056 193078 SAGE REHABILITATION HOSPITAL 8000 SUMMA AVE BATON ROUGE LA 70809 193079 UNITED MEDICAL REHABILITATION HOSPITAL 15717 BELLE DRIVE HAMMOND LA 70403 193080 SPECIALTY REHABILITATION HOSPITAL 1110 RINGGOLD AVENUE COUSHATTA LA 71019 193086 LEESVILLE REHABILITATION HOSPITAL 900 SOUTH SIXTH STREET LEESVILLE LA 71446 193090 THE NEUROMEDICAL CENTER REHABILITATION HOSPITAL, L 10101 PARK ROWE AVENUE BATON ROUGE LA 70810 193092 BETHESDA REHABILITATION HOSPITAL 8225 SUMMA AVE BATON ROUGE LA 70809 193093 LAFAYETTE PHYSICAL REHABILITATION HOSPITAL 307 POLLY LANE LAFAYETTE LA 70508 193094 PATHWAY REHABILITATION HOSPITAL OF BOSSIER 4900 MEDICAL DRIVE BOSSIER CITY LA 71112 193096 IBERIA REHABILITATION HOSPITAL 532 JEFFERSON TERRACE STREET NEW IBERIA LA 70560 193097 COVINGTON - A M G PHYSICAL REHABILITATION HOSPITAL 5025 KEYSTONE BLVDSUITE 200 COVINGTON LA 70433 193098 COBALT REHABILITATION HOSPITAL NEW ORLEANS 3801 BIENVILLE STREET NEW ORLEANS LA 70119 19T002 LAFAYETTE GENERAL SOUTHWEST 2810 AMBASSADOR CAFFERY PKWY. LAFAYETTE LA 70505 19T004 THIBODAUX REGIONAL MEDICAL CENTER 602 NORTH ACADIA ROAD THIBODAUX LA 70301 19T008 TERREBONNE GENERAL MEDICAL CENTER 8166 MAIN STREET HOUMA LA 70360 19T014 TECHE REGIONAL MEDICAL CENTER 1125 MARGUERITE STREET MORGAN CITY LA 70380 19T017 OPELOUSAS GENERAL HEALTH SYS 539 E PRUDHOMME ST OPELOUSAS LA 70570 19T019 CHRISTUS ST. FRANCES CABRINI HOSPITAL 3330 MASONIC DR. ALEXANDRIA LA 71301 19T020 LANE REHABILITATION CENTER 4601 MCHUGH ROAD ZACHARY LA 70791 19T025 SAVOY MEDICAL CENTER 801 POINCIANA AVE MAMOU LA 70554 19T027 CHRISTUS ST PATRICK HOSPITAL 524 DR. MICHAEL DEBAKEY DRIVE LAKE CHARLES LA 70601 19T036 OCHSNER REHABILITATION CENTER 1201 S. CLEARVIEW PKWY. JEFFERSON LA 70121 19T039 WEST JEFFERSON MEDICAL CENTER 1101 MEDICAL CENTER BOULEVARD MARRERO LA 70072 19T041 CHRISTUS SCHUMPERT HEALTH SYSTEM 1 ST. MARY PLACE SHREVEPORT LA 71101 19T045 ST TAMMANY PARISH HOSPITAL 1202 SOUTH TYLER STREET COVINGTON LA 70433 19T046 TOURO REHABILITATION CENTER 1401 FOUCHER STREET NEW ORLEANS LA 70115 19T060 LAKE CHARLES MEMORIAL HOSPITAL 1701 OAK PARK BLVD. LAKE CHARLES LA 70601 19T064 OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER 5000 HENNESSY BLVD BATON ROUGE LA 70808 19T065 BATON ROUGE GENERAL MEDICAL CENTER 3600 FLORIDA BLVD. BATON ROUGE LA 70806 19T102 OUR LADY OF LOURDES REGIONAL MEDICAL CTR 4801 AMBASSADOR CAFFREY PKWY LAFAYETTE LA 70508 19T111 WILLIS-KNIGHTON MEDICAL CENTER 2600 GREENWOOD ROAD SHREVEPORT LA 71103 19T125 ST. FRANCIS MEDICAL CENTER ACUTE REHAB 309 JACKSON STREET MONROE LA 71201 19T144 MINDEN MEDICAL CENTER REHAB 1 MEDICAL CENTER MINDEN LA 71055 19T146 EAST JEFFERSON GENERAL HOSPITAL 4200 HOUMA BLVD. METAIRIE LA 70006 19T160 GLENWOOD REHABILITATION CENTER 503 MCMILAN ROAD WEST MONROE LA 71291 19T167 MERCY REGIONAL MEDICAL CENTER 800 E MAIN ST VILLE PLATTE LA 70586 19T176 TULANE INPATIENT REHAB CENTER 1415 TULANE AVE NEW ORLEANS LA 70112 19T190 CALDWELL MEMORIAL HOSPITAL P.O. BOX 899 COLUMBIA LA 71418 19T204 OCHSNER MEDICAL CENTER - NORTH SHORE 100 MEDICAL CENTER DRIVE SLIDELL LA 70461 223026 HEALTHSOUTH NEW ENGLAND REHABILITATION HOSPITAL 2 REHABILITATION WAY WOBURN MA 01801 223027 HEALTHSOUTH BRAINTREE REHABILITATION HOSPITAL 250 POND STREET BRAINTREE MA 02184 223029 FAIRLAWN REHABILITATION HOSPITAL 189 MAY STREET WORCESTER MA 01602 223030 HEALTHSOUTH REHABILITATION HOSPITAL OF WESTERN MA 222 STATE STREET LUDLOW MA 01056 223032 SPAULDING REHABILITATION HOSPITAL - CAPE COD 311 SERVICE ROAD EAST SANDWICH MA 02537 223034 SPAULDING REHABILITATION HOSPITAL 300 FIRST AVENUE CHARLESTOWN MA 02129 22T046 BERKSHIRE MEDICAL CENTER THE CENTER FOR REHAB PITTSFIELD MA 01201 22T065 NOBLE HOSPITAL 115 W SILVER ST WESTFIELD MA 01086 22T066 WELDON CENTER FOR REHABILITATION 271 CAREW STREET SPRINGFIELD MA 01102 22T074 SOUTHCOAST HOSPITALS GROUP INC. CHARLTON MEMORIAL HOSPITAL FALL RIVER MA 02720 213028 HEALTHSOUTH CHESAPEAKE REHABILITATION HOSPITAL 220 TILGHMAN ROAD SALISBURY MD 21804 213029 ADVENTIST REHABILITATION HOSPITAL OF MARYLAND 9909 MEDICAL CENTER DRIVE ROCKVILLE MD 20850 203025 HEALTHSOUTH/MAINE MEDICAL CENTER, LLC 335 BRIGHTON AVENUE, UNIT 201 PORTLAND ME 04102

Page 8 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019

CCN IRF Name Address City State ZIP 20T018 AROOSTOOK MEDICAL CENTER IRF PO BOX 151 PRESQUE ISLE ME 04769 20T024 CENTRAL MAINE REHABILITATION CENTER 300 MAIN STREET LEWISTON ME 04240 20T033 EASTERN MAINE MEDICAL CENTER 489 STATE STREET BANGOR ME 04401 20T039 THE PHYSICAL REHAB UNIT 35 MEDICAL CENTER PARKWAY AUGUSTA ME 04330 233026 MARY FREE BED HOSPITAL & REHABILITATION CENTER 235 WEALTHY SE GRAND RAPIDS MI 49503 233027 REHABILITATION INSTITUTE OF MICHIGAN 261 MACK BLVD DETROIT MI 48201 23T002 ST MARY MERCY HOSPITAL 36475 FIVE MILE ROAD LIVONIA MI 48154 23T015 THREE RIVERS HEALTH REHAB PAVILION 701 SOUTH HEALTH PARKWAY THREE RIVERS MI 49093 23T019 PROVIDENCE HOSPITAL 16001 W 9 MILE RD SOUTHFIELD MI 48174 23T024 DMC SINAI-GRACE HOSPITAL 6071 WEST OUTER DRIVE DETROIT MI 48235 23T029 ST JOSEPH MERCY - OAKLAND 44405 WOODWARD AVE. PONTIAC MI 48341 23T030 MID-MICHIGAN GRATIOT MEDICAL CENTER 300 WARWICK DR ALMA MI 48801 23T031 LAKE HURON MEDICAL CENTER 2601 ELECTRIC AVENUE PORT HURON MI 48060 23T036 MIDMICHIGAN MEDICAL CENTER-ALPENA 1501 W CHISHOLM ST ALPENA MI 49707 23T038 SPECTRUM HEALTH CENTER FOR ACUTE REHABILITATION 1840 WEALTHY ST SE GRAND RAPIDS MI 49506 23T041 BAY MEDICAL CENTER FOR REHABILITATION 3190 E. MIDLAND ROAD BAY CITY MI 48706 23T046 UNIVERSITY OF MICHIGAN HOSPITAL 1500 E. MEDICAL CENTER DR. ANN ARBOR MI 48109 23T047 HENRY FORD MACOMB HOSPITAL 15855 NINETEEN MILE ROAD CLINTON TOWNSHIP MI 48038 23T054 MARQUETTE GENERAL HEALTH SYS 420 W MAGNETIC ST MARQUETTE MI 49855 23T066 HACKLEY HOSPITAL 1700 CLINTON STREET MUSKEGON MI 49443 23T070 MARY FREE BED AT COVENANT 515 MICHIGAN AVENUE SAGINAW MI 48602 23T078 COMMUNITY REHABILITATION CENTER 400 MEDICAL PARK DRIVE WATERVLIET MI 49098 23T097 MUNSON MEDICAL CENTER 1105 SIXTH ST TRAVERSE CITY MI 49684 23T105 MCLAREN NORTHERN MICHIGAN 416 CONNABLE AVE. PETOSKEY MI 49770 23T130 BEAUMONT - ROYAL OAK 3601 W 13 MILE RD. ROYAL OAK MI 48073 23T132 HURLEY MEDICAL CENTER ONE HURLEY PLAZA FLINT MI 48503 23T141 MCLAREN REGIONAL MEDICAL CENTER 401 SOUTH BALLENGER HIGHWAY FLINT MI 48532 23T146 HENRY FORD WYANDOTTE HOSPITAL 2333 BIDDLE WYANDOTTE MI 48192 23T151 BOTSFORD HOSPITAL 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 23T156 ST. JOSEPH MERCY HOSPITAL-ANN ARBOR 5301 EAST HURON RIVER DRIVE ANN ARBOR MI 48106 23T165 ST JOHN HOSPITAL AND MEDICAL CTR 22101 MOROSS DETROIT MI 48236 23T195 ST JOHN MACOMB HOSPITAL 11800 E. 12 MILE WARREN MI 48093 23T197 GENESYS REGIONAL MEDICAL CTR ONE GENESYS PARKWAY GRAND BLANC MI 48439 23T207 MCLAREN OAKLAND/POH MEDICAL CENTER 50 N. PERRY STREET PONTIAC MI 48342 23T230 E W SPARROW INPATIENT REHAB 1215 EAST MICHIGAN LANSING MI 48909 23T259 CHELSEA COMMUNITY HOSPITAL 775 S MAIN CHELSEA MI 48118 23T269 BEAUMONT HEALTH SYSTEMS 44201 DEQUINDRE RD TROY MI 48085 23T270 BEAUMONT TAYLOR 10000 TELEGRAPH RD TAYLOR MI 48180 23T275 HEALTHSOURCE SAGINAW 3340 HOSPITAL RD SAGINAW MI 48603 24T001 NORTH MEMORIAL MEDICAL CENTER 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 24T010 ST MARYS HOSPITAL 1216 2 ST. SW ROCHESTER MN 55902 24T019 SMDC MEDICAL CENTER DBA ESSENTIA HEALTH-DULUTH 502 EAST SECOND STREET DULUTH MN 55805 24T036 ST CLOUD HOSPITAL 1406 SIXTH AVE N ST CLOUD MN 56303 24T038 UNITED HOSPITAL 333 SMITH AVE N MR660104 ST PAUL MN 55102 24T047 ST LUKES HOSPITAL 915 EAST FIRST ST DULUTH MN 55805 24T052 LAKE REGION HEALTHCARE CORPORATION 712 SOUTH CASCADE STREET FERGUS FALLS MN 56537 24T057 ABBOTT NORTHWESTERN HOSPITAL 800 E 28TH ST MINNEAPOLIS MN 55407 24T080 FAIRVIEW HEALTH SERVICES 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 24T084 ESSENTIA HEALTH VIRGINIA 901 9TH STREET NORTH VIRGINIA MN 55792 24T100 SANFORD BEMIDJI MEDICAL CENTER 1300 ANNE ST NW BEMIDJI MN 56601 24T106 REGIONS HOSPITAL REHAB INSTITUTE 640 JACKSON ST. ST PAUL MN 55101 263027 RUSK REHABILITATION CTR 315 BUSINESS LOOP 70 W COLUMBIA MO 65203 263028 THE REHABILITATION INSTITUTE OF ST LOUIS 4455 DUNCAN AVE SAINT LOUIS MO 63110 263029 MERCY REHABILITATION HOSPITAL ST LOUIS 14561 NORTH OUTER FORTY CHESTERFIELD MO 63017

Page 9 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019

CCN IRF Name Address City State ZIP 263030 ST LUKE'S REHABILITATION HOSPITAL 14709 OLIVE BOULEVARD CHESTERFIELD MO 63017 263031 SSM HEALTH REHABILITATION HOSPITAL 1027 BELLEVUE AVENUE RICHMOND HEIGHTS MO 63117 263032 MERCY REHABILITATION HOSPITAL SPRINGFIELD 5904 S SOUTHWOOD RD SPRINGFIELD MO 65804 26T015 TWIN RIVERS REGIONAL MED CTR 1301 FIRST ST KENNETT MO 63857 26T017 PHELPS COUNTY REGIONAL MED CENTER 1000 WEST TENTH ST ROLLA MO 65401 26T023 MERCY HOSPITAL JEFFERSON HWY 61 SOUTH CRYSTAL CITY MO 63019 26T025 HANNIBAL REGIONAL HEALTHCARE SYSTEM 6000 HOSPITAL DRIVE HANNIBAL MO 63401 26T027 RESEARCH MEDICAL CENTER 2 NORTH REHABILITATION UNIT KANSAS CITY MO 64132 26T040 COX HEALTH 1000 E WALNUT LAWN SPRINGFIELD MO 65807 26T047 CAPITAL REGION MEDICAL CENTER PO BOX 1128 JEFFERSON CITY MO 65102 26T057 CAMERON REGIONAL MEDICAL CTR 1600 E EVERGREEN CAMERON MO 64429 26T062 ST LUKES NORTHLAND HOSPITAL 601 SOUTH 169 HIGHWAY SMITHVILLE MO 64089 26T068 BOONE HOSPITAL CENTER 1600 E. BROADWAY COLUMBIA MO 65201 26T077 ST ANTHONYS MEDICAL CENTER 10010 KENNERLY ROAD ST. LOUIS MO 63128 26T085 SAINT JOSEPH MEDICAL CENTER 1000 CARONDELET DRIVE KANSAS CITY MO 64114 26T094 COX MEDICAL CENTER - BRANSON 251 SKAGGS ROAD BRANSON MO 65616 26T096 NORTH KANSAS CITY HOSPITAL 2800 CLAY EDWARDS DRIVE NORTH KANSAS CITY MO 64116 26T108 MISSOURI BAPTIST MEDICAL CTR 3015 N BALLAS RD ST LOUIS MO 63131 26T110 SOUTHEAST HOSPITAL 1701 LACEY STREET CAPE GIRARDEAU MO 63701 26T113 MISSOURI DELTA MEDICAL CENTER 1008 N. MAIN ST. SIKESTON MO 63801 26T119 POPLAR BLUFF REGIONAL MED CTR 3100 OAK GROVE ROAD POPLAR BLUFF MO 63901 26T137 FREEMAN HEALTH SYSTEMS 1102 W 32ND ST JOPLIN MO 64804 26T138 ST LUKES HOSPITAL KANSAS CITY 4401 WORNALL RD KANSAS CITY MO 64111 26T180 CHRISTIAN HOSPITAL/BJC HEALTHCARE 11133 DUNN ROAD ST LOUIS MO 63136 26T183 ST FRANCIS MEDICAL CENTER 211 SAINT FRANCIS DR CAPE GIRARDEAU MO 63703 26T193 ST MARYS MEDICAL CENTER 201 NW R.D. MIZE BLUE SPRINGS MO 64014 253027 HEALTHSOUTH REHABILITATION HOSPITAL OF GULFPORT 4500 13TH STREET, 3RD FLOOR, EAST TOWER, SUITE 900 GULFPORT MS 39501 25T004 NORTH MISSISSIPPI MEDICAL CENTER 830 S GLOSTER STREET TUPELO MS 38801 25T034 BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI 1100 BELK BLVD. OXFORD MS 38655 25T040 SINGING RIVER HOSPITAL 2809 DENNY AVENE PASCAGOULA MS 39581 25T081 ANDERSON MEDICAL CENTER 1102 CONSTITUTION AVE MERIDIAN MS 39301 25T082 DELTA REGIONAL MEDICAL CENTER 1400 E UNION STREET GREENVILLE MS 38701 25T084 MERIT HEALTH NATCHEZ 54 SEARGENT PRENTISS DRIVE NATCHEZ MS 39120 25T099 THE LEFLORE REHABILITATION CENTER 1401 RIVER RD. GREENWOOD MS 38930 25T141 BAPTIST HOSPITAL DESOTO 7601 SOUTHCREST PARKWAY SOUTHAVEN MS 38671 25T152 MISSISSIPPI METHODIST REHABILITATION CENTER 1350 EAST WOODROW WILSON JACKSON MS 39216 27T023 RIM AT COMMUNITY MEDICAL CENTER 2827 FORT MISSOULA ROAD MISSOULA MT 59804 27T049 ST VINCENT HEALTHCARE PO BOX 35200 BILLINGS MT 59101 27T087 HEALTH CENTER NORTHWEST LLC 320 SUNNYVIEW LANE KALISPELL MT 59901 343025 CAREPARTNERS REHABILITATION HOSP 68 SWEETEN CREEK RD ASHEVILLE NC 28813 343026 CAROLINAS REHABILITATION 1100 BLYTHE BOULEVARD CHARLOTTE NC 28203 34T004 HIGH POINT REGIONAL HOSPITAL 601 N ELM ST HIGH POINT NC 27262 34T008 CENTER FOR INPATIENT REHAB 500 LAUCHWOOD DR LAURINBURG NC 28352 34T014 WHITAKER REHABILITATION CENTER 3333 SILAS CREEK PARKWAY WINSTON SALEM NC 27103 34T015 ROWAN REGIONAL MEDICAL CENTER 612 MOCKSVILLE AVENUE SALISBURY NC 28114 34T027 LENOIR MEMORIAL HOSPITAL REHAB UNIT 100 AIRPORT RD KINSTON NC 28501 34T028 CAPE FEAR VALLEY REHABILITATION CENTER 1638 OWEN DRIVE FAYETTEVILLE NC 28302 34T040 PITT COUNTY MEMORIAL HOSPITAL PO BOX 8447 GREENVILLE NC 27835 34T047 NORTH CAROLINA BAPTIST HOSPITALS MEDICAL CENTER BLVD WINSTON SALEM NC 27157 34T061 UNC HOSPITALS INPATIENT REHAB 101 MANNING DR CHAPEL HILL NC 27514 34T069 WAKEMED REHAB 3000 NEW BERN AVE. RALEIGH NC 27610 34T091 MOSES H. CONE MEMORIAL HOSPITAL 1200 NORTH ELM STREET GREENSBORO NC 27401 34T098 CAROLINAS MEDICAL CENTER - PINEVILLE REHABILITATIO 10628 PARK ROAD CHARLOTTE NC 28210 34T107 VIDANT EDGECOMB REHAB UNIT 111 HOSPITAL DRIVE TARBORO NC 27886

Page 10 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019

CCN IRF Name Address City State ZIP 34T113 CAROLINAS MEDICAL CENTER 1000 BLYTHE BLVD CHARLOTTE NC 28203 34T115 FIRSTHEALTH MOORE REGIONAL HOSPITAL 155 MEMORIAL DRIVE PINEHURST NC 28374 34T116 FRYE REGIONAL MEDICAL CENTER 420 NORTH CENTER STREET HICKORY NC 28601 34T131 CAROLINAEAST REHABILITATION HOSPITAL 2000 NEUSE BLVD. NEW BERN NC 28561 34T132 MARIA PARHAM HEALTHCARE ASSOCIATION INC 566 RUIN CREEK RD HENDERSON NC 27536 34T141 NEW HANOVER REGIONAL MEDICAL CENTER REHABILITATION 2131 SOUTH 17TH STREET WILMINGTON NC 28402 34T143 CATAWBA VALLEY MEDICAL CENTER 810 FAIRGROVE CHURCH RD HICKORY NC 28602 34T147 BRYANT T. ALDRIDGE REHABILITATION CENTER 2400 MEDPARK DRIVE ROCKY MOUNT NC 27804 35T006 TRINITY REHABCARE CENTER 407 3RD ST. SE MINOT ND 58701 35T011 SANFORD HEALTH SYSTEM REHABILITATION 5C FARGO ND 58122 35T015 SANFORD REHABILITATION CENTER 300 NORTH 7TH STREET BISMARCK ND 58501 35T019 ALTRU HEALTH SYSTEM 4500 SOUTH WASHINGTON STREET GRAND FORKS ND 58201 283025 MADONNA REHABILITATION HOSPITAL LINCOLN 5401 SOUTH ST LINCOLN NE 68506 283026 MADONNA REHABILITATION HOSPITAL OMAHA 17500 BURKE STREET OMAHA NE 68118 28T003 BRYAN MEDICAL CENTER 2300 SOUTH 16TH STREET LINCOLN NE 68502 28T009 CHI HEALTH GOOD SAMARITAN 10 E 31ST STREET KEARNEY NE 68848 28T023 CHI HEALTH ST FRANCIS 2620 WEST FAIDLEY AVE. GRAND ISLAND NE 68803 28T032 MARY LANNING MEMORIAL - IRF 715 NORTH ST. JOSEPH AVENUE HASTINGS NE 68901 28T040 NEBRASKA METHODIST HEALTH SYSTEM 8511 WEST DODGE ROAD OMAHA NE 68114 28T061 THE ACUTE REHAB UNIT AT REGIONAL WEST MEDICAL CENT 4021 AVENUE B SCOTTSBLUFF NE 69361 28T125 FAITH REGIONAL HEALTH SERVICES 1500 KOENIGSTEIN NORFOLK NE 68701 303026 NORTHEAST REHABILITATION HOSPITAL 70 BUTLER STREET SALEM NH 03079 303027 HEALTHSOUTH REHABILITATION HOSPITAL 254 PLEASANT STREET CONCORD NH 03301 30T011 ST JOSEPH HOSPITAL IR CENTER 172 KINSLEY ST NASHUA NH 03060 30T019 CHESHIRE MEDICAL CENTER 580 COURT ST KEENE NH 03431 30T034 CATHOLIC MEDICAL CENTER 100 MCGREGOR STREET MANCHESTER NH 03102 313025 KESSLER INSTITUTE FOR REHABILITATION - WEST FAC 1199 PLEASANT VALLEY WAY WEST ORANGE NJ 07052 313027 ST LAWRENCE REHABILITATION CENTER 2381 LAWRENCEVILLE ROAD LAWRENCEVILLE NJ 08648 313029 HEALTHSOUTH REHABILITATION HOSPITAL OF TOMS RIVER 14 HOSPITAL DRIVE TOMS RIVER NJ 08755 313030 BACHARACH INSTITUTE FOR REHABILITATION 61 W JIMMIE LEEDS ROAD POMONA NJ 08240 313032 KESSLER INSTITUTE FOR REHABILITATION,INC 92 BRICK ROAD MARLTON NJ 08053 313033 SHORE REHABILITATION INSTITUTE 425 JACK MARTIN BOULEVARD, SECOND FLOOR, EAST WING BRICK NJ 08724 313035 HEALTHSOUTH REHABILITATION HOSPITAL OF TINTON FALL 2 CENTRE PLAZA TINTON FALLS NJ 07724 313036 HEALTHSOUTH REHABILITATION HOSPITAL OF VINELAND 1237 W SHERMAN AVENUE VINELAND NJ 08360 31T010 UMCPP - ACUTE REHABILITATION UNIT UMCPP PLAINSBORO NJ 08536 31T015 ATLANTIC REHABILITATION INSTITUTE 95 MT. KEMBLE AVENUE MORRISTOWN NJ 07962 31T019 ST. JOSEPHS WAYNE HOSPITAL 224 HAMBURG TPK WAYNE NJ 07470 31T029 LOURDES REGIONAL REHABILITATION CENTER 1600 HADDON AVENUE CAMDEN NJ 08103 31T034 RIVERVIEW REHABILITATION CENTER 1 RIVERIVEW PLAZA RED BANK NJ 07701 31T040 HOBOKEN UNIVERSITY MEDICAL CENTER 308 WILLOW AVENUE HOBOKEN NJ 07030 31T108 JFK JOHNSON REHAB INSTITUTE 65 JAMES STREET EDISON NJ 08820 323026 NEW MEXICO REHABILITATION CENTER 72 GAIL HARRIS AVENUE ROSWELL NM 88203 323027 HEALTHSOUTH REHABILITATION HOSPITAL 7000 JEFFERSON STREET NE ALBUQUERQUE NM 87109 323028 LOVELACE UNM REHABILITATION HOSPITAL 505 ELM STREET ALBUQUERQUE NM 87102 323032 REHABILITATION HOSPITAL OF SOUTHERN NEW MEXICO,INC 4441 E LOHMAN LAS CRUCES NM 88011 32T002 ST VINCENT HOSPITAL 455 ST MICHAELS DRIVE SANTA FE NM 87505 32T004 GERALD CHAMPION REGIONAL MEDICAL CENTER 2669 NORTH SCENIC DRIVE ALAMOGORDO NM 88310 32T063 CARLSBAD MEDICAL CENTER 2430 WEST PIERCE STREET CARLSBAD NM 88220 293026 HEALTHSOUTH REHABILITATION HOSPITAL OF LAS VEGAS 1250 S VALLEY VIEW BLVD LAS VEGAS NV 89102 293032 HEALTHSOUTH REHABILITIATION HOSPITAL OF HENDERSON 10301 JEFFREYS ST HENDERSON NV 89052 293033 HEALTHSOUTH DESERT CANYON REHABILITATION HOSPITAL 9175 WEST OQUENDO ROAD LAS VEGAS NV 89148 29T003 SUNRISE HOSPITAL MEDICAL CENTER 3186 S. MARYLAND PKWY. LAS VEGAS NV 89109 29T012 ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMA 102 E. LAKE MEAD PARKWAY HENDERSON NV 89015 29T021 VALLEY HOSP MED CTR REHAB 620 SHADOW LANE LAS VEGAS NV 89106

Page 11 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019

CCN IRF Name Address City State ZIP 29T022 DESERT SPRINGS ACUTE REHABILITATION 2075 E FLAMINGO ROAD LAS VEGAS NV 89135 29T032 NORTHERN NEVADA MEDICAL CENTER 2375 E. PRATER WAY SPARKS NV 89434 29T039 MOUNTAINVIEW HOSPITAL 3100 N TENAYA WAY LAS VEGAS NV 89128 29T041 SUMMERLIN HOSPITAL MEDICAL CTR 657 TOWN CENTER DRIVE LAS VEGAS NV 89144 29T046 SPRING VALLEY MEDICAL CENTER 5400 S. RAINBOW BLVD. LAS VEGAS NV 89118 29T049 RENOWN REHABILITATION HOSPITAL 1495 MILL STREET RENO NV 89502 333030 WINIFRED MASTERSON BURKE REHABILITATION HOSPITAL 785 MAMARONECK AVENUE WHITE PLAINS NY 10605 33T005 KALEIDA HEALTH 100 HIGH ST. BUFFALO NY 14203 33T013 ALBANY MEDICAL CENTER HOSP 43 NEW SCOTLAND AVENUE ALBANY NY 12208 33T024 MT SINAI MEDICAL CENTER ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 33T027 NASSAU UNIVERSITY MEDICAL CENTER 2201 HEMPSTEAD TURNPIKE EAST MEADOW NY 11554 33T044 FAXTON-ST. LUKES HEALTHCARE 1650 CHAMPLIN AVENUE UTICA NY 13502 33T046 MT SINAI-ROOSELVELT HOSPITAL CENTER 1000 TENTH AVENUE-3G REHAB NEW YORK NY 10019 33T047 ST. MARY'S HOSPITAL AT AMSTERDAM 427 GUY PARK AVENUE AMSTERDAM NY 12010 33T049 THE PAUL ROSENTHAL REHABILITATION CENTER AT NDH 6511 SPRINGBROOK AVENUE RHINEBECK NY 12572 33T056 THE BROOKLYN HOSPITAL CENTER 121 DEKALB AVE BROOKLYN NY 11201 33T058 GENEVA GENERAL HOSPITAL 196 NORTH STREET GENEVA NY 14456 33T101 NYP - COLUMBIA UNIVERSITY MEDICAL CENTER MILSTEIN HOSP. BLDG. 8GN-446 NEW YORK NY 10032 33T102 KENMORE MERCY HOSPITAL 2950 ELMWOOD AVE KENMORE NY 14217 33T108 ST JOSEPHS HOSPITAL 555 EAST MARKET STREET ELMIRA NY 14901 33T126 ORANGE REGIONAL MEDICAL CENTER 707 E MAIN ST MIDDLETOWN NY 10940 33T127 JACOBI MEDICAL CENTER 1400 PELHAM PARKWAY S BRONX NY 10461 33T128 ELMHURST HOSPITAL CENTER 79-01 BROADWAY ELMHURST NY 11373 33T157 SAMARITAN MEDICAL CENTER 830 WASHINGTON ST. WATERTOWN NY 13601 33T160 STATEN ISLAND UNIVERSITY HOSP 475 SEAVIEW AVENUE STATEN ISLAND NY 10305 33T181 GLEN COVE HOSPITAL 101 ST. ANDREWS LANE GLEN COVE NY 11542 33T191 GLENS FALLS HOSPITAL 100 PARK STREET GLENS FALLS NY 12801 33T196 CONEY ISLAND HOSPITAL 2601 OCEAN PARKWAY BROOKLYN NY 11235 33T199 METROPOLITAN HOSPITAL CENTER 1901 FIRST AVENUE NYC NY 10029 33T201 KINGSBROOK REHABILITATION INSTITUTE 585 SCHENECTADY AVE BROOKLYN NY 11203 33T202 KINGS COUNTY HOSPITAL CENTER 451 CLARKSON AVENUE C-1117B BROOKLYN NY 11203 33T204 BELLEVUE HOSPITAL CENTER 462 1ST AVENUE NEW YORK NY 10016 33T214 RUSK REHABILITATION 240 E. 38TH STREET NEW YORK NY 10016 33T219 ERIE COUNTY MEDICAL CENTER 462 GRIDER ST BUFFALO NY 14215 33T224 BENEDICTINE HOSPITAL 105 MARYS AVENUE KINGSTON NY 12401 33T226 UNITY HOSPITAL 1555 LONG POND RD ROCHESTER NY 14626 33T234 WESTCHESTER MEDICAL CENTER GRASSLANDS ROAD VALHALLA NY 10595 33T236 NY PRESBYTERIAN BROOKLYN METHODIST HOSPITAL 506 6TH ST BROOKLYN NY 11215 33T239 WCA HOSPITAL 207 FOOTE AVE JAMESTOWN NY 14701 33T241 UPSTATE MEDICAL UNIVERSITY 750 E ST. SYRACUSE NY 13210 33T246 ST CHARLES HOSPITAL 200 BELLE TERRE ROAD PORT JEFFERSON NY 11777 33T261 PHELPS MEMORIAL HOSPITAL 701 NORTH BROADWAY NY 10591 33T279 BUFFALO MERCY REHABILITATION UNIT 565 ABBOTT ROAD BUFFALO NY 14220 33T285 UNIV OF ROCHESTER MEDICAL CTR 601 ELMWOOD AVE ROCHESTER NY 14642 33T307 CAYUGA MEDICAL CTR @ ITHACA 101 DATES DRIVE ITHACA NY 14850 33T394 UHS HOSPITALS 10-42 MITCHELL AVE BINGHAMTON NY 13903 33T405 HELEN HAYES HOSPITAL ROUTE 9W WEST HAVERSTRAW NY 10993 33T406 SUNNYVIEW HOSPITAL AND REHABILITATION 1270 BELMONT AVE. SCHENECTADY NY 12308 363026 STEWARD HILLSIDE REHABILITATION HOSPITAL, INC 8747 SQUIRES LANE NE WARREN OH 44484 363033 HEALTHSOUTH REHABILITATION HOSPITAL OF DAYTON ONE ELIZABETH PLACE DAYTON OH 45408 363034 HEALTHSOUTH REHABILITATION HOSPITAL OF CINCINNATI 151 WEST GALBRAITH ROAD CINCINNATI OH 45216 363035 SUMMA REHAB HOSPITAL 29 NORTH ADAMS STREET AKRON OH 44304 363036 UNIVERSITY HOSPITALS REHABILITATION HOSPITAL 23333 HARVARD ROAD BEACHWOOD OH 44122 363037 OHIOHEALTH REHABILITATION HOSPITAL 1087 DENNISON AVENUE 4TH FLOOR COLUMBUS OH 43201

Page 12 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019

CCN IRF Name Address City State ZIP 363038 CLEVELAND CLINIC REHABILITATION HOSPITALS LLC 33355 HEALTH CAMPUS BLVD AVON OH 44011 363039 UNIVERSITY HOSPITALS AVON REHABILITATION HOSPITAL 37900 CHESTER ROAD AVON OH 44011 363040 REHABILITATION HOSPITAL OF NORTHWEST OHIO LLC 1455 WEST MEDICAL LOOP TOLEDO OH 43614 363041 TRIHEALTH REHABILITATION HOSPITAL LLC 2155 DANA AVENUE CINCINNATI OH 45207 363042 MOUNT CARMEL REHABILITATION HOSPITAL 597 EXECUTIVE CAMPUS DR WESTERVILLE OH 43082 36R319 SELBY GENERAL HOSPITAL 1106 COLEGATE DR MARIETTA OH 45750 36R325 GALION COMMUNITY HOSPITAL 269 PORTLAND WAY SOUTH GALION OH 44833 36T001 MERCY HEALTH ANDERSON HOSPITAL - REHAB UNIT 7500 STATE ROAD CINCINNATI OH 45255 36T008 SOUTHERN OHIO MEDICAL CENTER 1805 27TH STREET PORTSMOUTH OH 45662 36T009 LIMA MEMORIAL HEALTH SYSTEM 1001 BELLEFONTAINE AVE. LIMA OH 45804 36T010 UNION HOSPITAL 659 BOULEVARD DOVER OH 44622 36T016 JEWISH HOSPITAL-MERCY HEALTH 4777 E. GALBRAITH ROAD CINCINNATI OH 45236 36T025 FIRELANDS REGIONAL MEDICAL CTR INPATIENT REHABILITATION SANDUSKY OH 44870 36T036 WOOSTER COMMUNITY HOSPITAL 1761 BEALL AVE WOOSTER OH 44691 36T041 UNIVERSITY HOSPITALS PARMA MEDICAL CENTER 7007 POWERS BLVD. PARMA OH 44129 36T051 MIAMI VALLEY HOSPITAL ONE WYOMING STREET DAYTON OH 45409 36T054 HOLZER MEDICAL CENTER 100 JACKSON PIKE GALLIPOLIS OH 45631 36T056 MERCY HOSPITAL FAIRFIELD 3000 MACK ROAD FAIRFIELD OH 45014 36T059 METROHEALTH MEDICAL CENTER 2500 METROHEALTH DRIVE CLEVELAND OH 44109 36T064 ST. ELIZABETH HEALTH CENTER 1044 BELMONT AVENUE YOUNGSTOWN OH 44501 36T066 ST RITAS MEDICAL CENTER 730 W MARKET ST LIMA OH 45801 36T070 MERCY MEDICAL CENTER MERCY MEDICAL CENTER CANTON OH 44708 36T076 ATRIUM MEDICAL CENTER ONE MEDICAL CENTER DR FRANKLIN OH 45005 36T079 KETTERING MEDICAL CENTER INPATIENT REHAB UNIT KETTERING OH 45429 36T084 AULTMAN WOODLAWN 2821 WOODLAWN NW CANTON OH 44708 36T085 OHIO STATE UNIVERSITY HOSPITAL 410 W 10TH AVE COLUMBUS OH 43210 36T086 COMMUNITY OF SPRINGFIELD ARU-1 EAST SPRINGFIELD OH 45505 36T098 LAKE HOSPITAL SYSTEM 10977 CAPITAL PARKWAY CONCORD OH 44077 36T118 OHIO HEALTH MANSFIELD REHAB UNIT 335 GLESSNER AVE. MANSFIELD OH 44903 36T153 BELMONT COMMUNITY HOSPITAL 4697 HARRISON ST BELLAIRE OH 43906 36T155 SOUTHWEST GENERAL HOSPITAL 18697 BAGLEY RD MIDDLEBURG HEIGHTS OH 44130 36T163 THE CHRIST HOSPITAL REHAB UNIT 2139 AUBURN AVENUE CINCINNATI OH 45219 36T172 MERCY REGIONAL MEDICAL CENTER 3700 KOLBE ROAD LORAIN OH 44053 36T174 UPPER VALLEY MEDICAL CENTER 3130 N 25A TROY OH 45373 36T180 CLEVELAND CLINIC - MAIN 9500 EUCLID AVENUE CLEVELAND OH 44195 36T211 THE TRINITY REHABILITATION CENTER 380 SUMMIT AVE STEUBENVILLE OH 43952 36T218 LICKING MEMORIAL HOSPITAL 1320 W MAIN ST NEWARK OH 43055 36T234 MERCY WEST HOSPITAL 3300 MERCY HEALTH BLVD CINCINNATI OH 45211 373025 VALIR REHABILITATION HOSPITAL OF OKC, LLC 700 NORTHWEST 7TH STREET OKLAHOMA CITY OK 73102 373033 MERCY REHABILITATION HOSPITAL OKLAHOMA CITY 5401 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73142 373034 ST JOHN REHAB HOSPITAL AFFILIATED W/HEALTHSOUTH 1200 W ALBANY DRIVE BROKEN ARROW OK 74012 373035 PAM REHABILITATION HOSPITAL OF TULSA 10020 EAST 91ST DRIVE TULSA OK 74133 37T001 HILLCREST KAISER REHABILITATION CENTER 1125 S. TRENTON TULSA OK 74120 37T008 NORMAN REGIONAL HOSPITAL 901 N PORTER AVE NORMAN OK 73071 37T018 JANE PHILLIPS MEMORIAL MEDICAL CENTER 3500 FRANK PHILLIPS BOULEVARD BARTLESVILLE OK 74006 37T020 MERCY HOSPITAL ADA 430 NORTH MONTE VISTA ADA OK 74820 37T023 DUNCAN REGIONAL HOSPITAL 1407 WHISENANT DUNCAN OK 73533 37T025 SAINT FRANCIS HOSPITAL MUSKOGEE 300 ROCKEFELLER DRIVE MUSKOGEE OK 74401 37T026 ST MARYS REGIONAL MEDICAL CTR 305 S FIFTH ST ENID OK 73701 37T029 INTEGRIS CLINTON REGIONAL HOSP 100 N 30TH ST CLINTON OK 73601 37T032 DEACONESS HOSPITAL 5501 N. PORTLAND OKLAHOMA CITY OK 73112 37T034 MCALESTER REGIONAL HEALTH CENTER ONE BASS BLVD. MCALESTER OK 74501 37T037 ST ANTHONY HOSPITAL REHAB CTR 1000 N LEE ST OKLAHOMA CITY OK 73101 37T047 MERCY HOSPITAL ARDMORE 1011 14TH AVE NW ARDMORE OK 73401

Page 13 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019

CCN IRF Name Address City State ZIP 37T049 STILLWATER MEDICAL CENTER 1323 WEST 6TH STREET STILLWATER OK 74076 37T056 COMANCHE COUNTY HOSPITAL AUTHORITY 3401 W. GORE BLVD. LAWTON OK 73505 37T089 TAHLEQUAH CITY HOSPITAL 1400 E. DOWNING TAHLEQUAH OK 74464 37T091 SAINT FRANCIS REHABILITATION 6161 S. YALE AVE. TULSA OK 74133 37T097 SOUTHWESTERN MEDICAL CENTER 5602 SOUTHWEST LEE BLVD LAWTON OK 73505 37T106 INTEGRIS SOUTHWEST MEDICAL CENTER 4401 SOUTH WESTERN AVENUE OKLAHOMA CITY OK 73109 38T001 MID-COLUMBIA MEDICAL CENTER 1700 E. 19TH ST THE DALLES OR 97058 38T017 LEGACY GOOD SAMARITAN HOSP & MED CTR 1015 NW 22ND AVENUE PORTLAND OR 97210 38T018 ROGUE VALLEY MEDICAL CENTER 2825 EAST BARNETT RD MEDFORD OR 97504 38T033 OREGON REHABILITATION CENTER 1255 HILYARD STREET EUGENE OR 97401 38T047 ST. CHARLES MEDICAL CENTER 2500 NE NEFF ROAD BEND OR 97701 38T051 SALEM HOSPITAL 890 OAK STREET SALEM OR 97301 38T061 PROVIDENCE PORTLAND MEDICAL CENTER 4805 NE GLISAN PORTLAND OR 97213 38T075 PROVIDENCE MEDFORD MEDICAL CENTER 1111 CRATER LAKE AVENUE MEDFORD OR 97504 393025 MAIN LINE HOSPITAL BRYN MAWR REHABILITATION 414 PAOLI PIKE MALVERN PA 19355 393026 HEALTHSOUTH READING REHABILITATION HOSPITAL 1623 MORGANTOWN ROAD READING PA 19607 393027 HEALTHSOUTH HARMARVILLE REHABILITATION HOSPITAL 320 GUYS RUN ROAD PITTSBURGH PA 15238 393030 ALLIED SERVICES INSTITUTE OF REHABILITATION 475 MORGAN HIGHWAY SCRANTON PA 18508 393031 HEALTHSOUTH REHAB HOSPITAL OF MECHANICSBURG 175 LANCASTER BOULEVARD MECHANICSBURG PA 17055 393035 GOOD SHEPHERD REHABILITATION HOSPITAL, THE 850 SOUTH FIFTH STREET ALLENTOWN PA 18103 393036 JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE 150 MUNDY STREET WILKES BARRE TOWNSHI PA 18702 393037 HEALTHSOUTH REHABILITATION HOSPITAL OF YORK 1850 NORMANDIE DRIVE YORK PA 17404 393038 MAGEE REHABILITATION HOSPITAL SIX FRANKLIN PLAZA PHILADELPHIA PA 19102 393039 HEALTHSOUTH NITTANY VALLEY REHABILITATION HOSPITAL 550 WEST COLLEGE AVENUE PLEASANT GAP PA 16823 393040 HEALTHSOUTH REHAB HOSP OF ALTOONA 2005 VALLEY VIEW BOULEVARD ALTOONA PA 16602 393045 HEALTHSOUTH REHABILITATION HOSPITAL OF SEWICKLEY 303 CAMP MEETING ROAD SEWICKLEY PA 15143 393046 HEALTHSOUTH REHABILITATION HOSPITAL OF ERIE 143 EAST SECOND STREET ERIE PA 16507 393047 GEISINGER HEALTHSOUTH REHABILITATION HOSPITAL 64 REHAB LANE DANVILLE PA 17821 393053 PENN STATE HEALTH REHABILITATION HOSPITAL 1135 OLD WEST CHOCOLATE AVE HUMMELSTOWN PA 17036 393054 LANCASTER REHABILITATION HOSPITAL 675 GOOD DRIVE LANCASTER PA 17604 393055 ST MARY REHABILITATION HOSPITAL 1208 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 393056 HELEN M SIMPSON REHABILITATION HOSPITAL 4300 LONDONDERRY ROAD HARRISBURG PA 17109 39T002 UPMC MCKEESPORT HOSPITAL 1500 FIFTH AVE. MCKEESPORT PA 15132 39T009 SAINT VINCENT HOSPITAL 232 WEST 25TH STREET ERIE PA 16544 39T013 EVANGELICAL COMMUNITY HOSPITAL ONE HOSPITAL DRIVE LEWISBURG PA 17837 39T016 JAMESON HOSPITAL 1211 WILMINGTON RD NEW CASTLE PA 16105 39T027 TEMPLE UNIVERSITY HOSPITAL 3401 N. BROAD STREET PHILADELPHIA PA 19140 39T028 UPMC MERCY 1400 LOCUST STREET PITTSBURGH PA 15219 39T031 SCHUYLKILL STINE REHAB 700 E NORWEGIAN ST POTTSVILLE PA 17901 39T032 ALLEGHENY VALLEY HOSPITAL 1301 CARLISLE STREET NATRONA HEIGHTS PA 15065 39T041 UNIONTOWN HOSPITAL 500 W. BERKELEY ST. UNIONTOWN PA 15401 39T042 THE WASHINGTON HOSPITAL 155 WILSON AVENUE WASHINGTON PA 15301 39T044 THE READING HOSPITAL AND MEDICAL CENTER 2802 PAPERMILL RD WYOMISSING PA 19610 39T045 WILLIAMSPORT HOSPITAL REHAB 777 RURAL AVENUE WILLIAMSPORT PA 17701 39T049 ST LUKES HOSPITAL 801 OSTRUM ST BETHLEHEM PA 18015 39T057 GRAND VIEW HOSPITAL 700 LAWN AVENUE SELLERSVILLE PA 18960 39T058 UPMC PINNALCE CARLISLE 361 ALEXANDER SPRING ROAD CARLISLE PA 17013 39T061 LANCASTER REGIONAL MEDICAL CENTER 250 COLLEGE AVE LANCASTER PA 17604 39T066 THE GOOD SAMARITAN HOSPITAL 4TH AND WALNUT STREETS LEBANON PA 17042 39T081 DELAWARE COUNTY MEMORIAL HOSPITAL 501 N. LANSDOWNE AVE DREXEL HILL PA 19026 39T086 PENN HIGHLANDS DUBOIS 100 HOSPITAL AVE DUBOIS PA 15801 39T090 WESTERN PENNSYLVANIA HOSPITAL 4800 FRIENDSHIP AVE PITTSBURGH PA 15224 39T091 UPMC NORTHWEST 100 FAIRFIELD AVE. SENECA PA 16346 39T093 THE REHAB CTR @ CLARION HOSP ONE HOSPITAL DR CLARION PA 16214

Page 14 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019

CCN IRF Name Address City State ZIP 39T102 UPMC ST MARGARET 815 FREEPORT ROAD PITTSBURGH PA 15215 39T107 UPMC PASSAVANT - THE REHAB CENTER 9100 BABCOCK BLVD. PITTSBURGH PA 15237 39T110 CRICHTON REHABILITATION CENTER 1086 FRANKLIN STREET JOHNSTOWN PA 15905 39T111 HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA 1800 LOMBARD STREET PHILADELPHIA PA 19146 39T113 MEADVILLE MEDICAL CENTER 1034 GROVE STREET MEADVILLE PA 16335 39T125 WAYNE MEMORIAL HOSPITAL 601 PARK STREET HONESDALE PA 18431 39T127 REGIONAL REHAB CENTER 140 NUTT RD PHOENIXVILLE PA 19460 39T133 LEHIGH VALLEY HOSPITAL 1200 S CEDAR CREST BLVD ALLENTOWN PA 18103 39T137 CENTER FOR ADVANCED REHAB 575 NORTH RIVER ST WILKES-BARRE PA 18764 39T142 MOSS REHAB 60 TOWNSHIP LINE ROAD ELKINS PARK PA 19027 39T145 WESTMORELAND REGIONAL HOSPITAL 532 WEST PITTSBURGH STREET GREENSBURG PA 15601 39T147 MONONGAHELA VALLEY HOSPITAL COUNTRY CLUB ROAD MONONGAHELA PA 15063 39T151 CHAMBERSBURG HOSPITAL 112 N SEVENTH ST CHAMBERSBURG PA 17201 39T156 MERCY FITZGERALD HOSPITAL INPATIENT REHABILITATION UNIT DARBY PA 19023 39T157 OHIO VALLEY HOSPITAL 25 HECKEL ROAD MCKEES ROCKS PA 15136 39T160 CANONSBURG GENERAL HOSPITAL 100 MEDICAL BOULEVARD CANONSBURG PA 15317 39T162 EASTON HOSPITAL 250 SOUTH 21ST. ST. EASTON PA 18042 39T163 ARMSTRONG COUNTY MEMORIAL HOSPITAL ONE NOLTE DRIVE KITTANNING PA 16201 39T164 UNIV OF PITTSBURGH MED CTR-MUH 200 LOTHROP ST PITTSBURGH PA 15213 39T173 REHAB CARE CENTER AT INDIANA REGIONAL MEDICAL CENT 835 HOSPITAL ROAD INDIANA PA 15701 39T174 THOMAS JEFFERSON UNIVERSITY HOSPITAL 375 MAIN BUILDING PHILADELPHIA PA 19107 39T180 CROZER CHESTER MEDICAL CENTER ONE MEDICAL CENTER BOULEVARD UPLAND PA 19103 39T185 GUNDERSON REHABILITATION CENTER 700 EAST BROAD STREET HAZLETON PA 18201 39T194 NEXT STEP ACUTE REHABILITATION 211 N 12TH STREET LEHIGHTON PA 18235 39T198 MILLCREEK COMMUNITY HOSPITAL 5515 PEACH ST ERIE PA 16509 39T201 LEHIGH VALLEY HOSPITAL - POCONO 206 E BROWN ST EAST STROUDSBURG PA 18301 39T204 NAZARETH HOSPITAL REHAB 2601 HOLME AVENUE PHILADELPHIA PA 19152 39T225 EPHRATA REHABILITATION UNIT 169 MARTIN AVENUE EPHRATA PA 17522 39T231 ABINGTON MEMORIAL HOSPITAL 1200 OLD YORK ROAD ABINGTON PA 19001 39T263 LEHIGH VALLEY - MUHLENBERG 2545 SCHOENERSVILLE RD BETHLEHEM PA 18017 39T265 JEFFERSON HOSPITAL 565 COAL VALLEY RD JEFFERSON HILLS PA 15025 39T267 FORBES REGIONAL HOSPITAL 2570 HAYMAKER RD MONROEVILLE PA 15146 39T270 GEISINGER WYOMING VALLEY 100 E. MOUNTAIN DRIVE WILKES-BARRE PA 18711 39T327 WELLSPAN SURGERY AND REHABILITATION HOSPITAL 55 MONUMENT RD YORK PA 17403 39T328 UPMC EAST 2735 MOSSIDE BLVD MONROEVILLE PA 15146 403025 HEALTH SOUTH REHABILITATION HOSPITAL OF SAN JUAN UNIVERSITY DISTRICT HOSPITAL -- 3RD FLOOR SAN JUAN PR 00936 403026 HEALTHSOUTH REHABILITATION HOSPITAL OF MANATI, INC CARR 2 K47 7 ALTS DE MANATI PR 00674 403027 MULTY MEDICAL FACILITIES CORPORATION MUNOZ RIVERA AVENUE 402 SAN JUAN PR 00918 40T021 HOSPITAL DE LA CONCEPCION HWY 2 KM 173.4 SAN GERMAN PR 00683 413025 REHABILITATION HOSPITAL OF RHODE ISLAND 116 DOWLING HIGHWAY NORTH SMITHFIELD RI 02896 41T005 SOUTHERN NEW ENGLAND REHAB CTR 200 HIGH SERVICE AVENUE NORTH PROVIDENCE RI 02904 41T006 NEWPORT HOSPITAL 11 FRIENDSHIP STREET NEWPORT RI 02840 41T007 RHODE ISLAND HOSPITAL INPATIENT REHAB UNIT PROVIDENCE RI 02903 41T009 KENT COUNTY MEMORIAL HOSPITAL 455 TOLL GATE RD. WARWICK RI 02886 423025 HEALTHSOUTH REHABILITATION HOSPITAL OF COLUMBIA 2935 COLONIAL DRIVE COLUMBIA SC 29203 423026 HEALTHSOUTH REHABILITATION HOSPITAL OF FLORENCE 900 EAST CHEVES ST FLORENCE SC 29506 423027 HEALTHSOUTH REHABILITATION HOSP OF CHARLESTON, INC 9181 MEDCOM ST NORTH CHARLESTON SC 29406 423028 HEALTHSOUTH REHABILITATION HOSPITAL OF ROCK HILL 1795 FRANK GASTON BLVD ROCK HILL SC 29732 423029 ANMED HEALTHSOUTH REHABILITATION HOSPITAL 1 SPRINGBACK WAY ANDERSON SC 29621 423030 GREENWOOD REGIONAL REHABILITATION HOSPITAL, INC 1530 PARKWAY GREENWOOD SC 29646 423031 SPARTANBURG REHABILITATION INSTITUTE, INC 160 HAROLD FLEMING COURT SPARTANBURG SC 29303 42T023 BON SECOUR ST. FRANCIS INPATIENT REHAB CENTER 1 ST. FRANCIS DRIVE GREENVILLE SC 29601 42T030 COLLETON MEDICAL CENTER 501 ROBERTSON BLVD WALTERBORO SC 29488 42T036 SPRING MEMORIAL HOSPITAL 800 W MEETING ST LANCASTER SC 29720

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CCN IRF Name Address City State ZIP 42T067 THE REHAB UNIT AT BEAUFORT MEMORIAL HOSPITAL 955 RIBAUT RD BEAUFORT SC 29902 42T068 THE REGIONAL MEDICAL CENTER 3000 ST MATTHEWS RD ORANGEBURG SC 29118 42T070 ACUTE REHAB UNIT AT TUOMEY HEALTHCARE SYSTEM 129 NORTH WASHINGTON STREET SUMTER SC 29150 42T078 ROGER C. PEACE 701 GROVE ROAD GREENVILLE SC 29605 42T083 MARY BLACK CENTER FOR REHAB 1700 SKYLYN DRIVE SPARTANBURG SC 29304 42T087 ROPER REHABILITATION HOSPITAL 316 CALHOUN ST CHARLESTON SC 29401 42T091 CAROLINAS HOSPITAL SYSTEM 121 E CEDAR STREET FLORENCE SC 29501 42T098 WACCAMAW REHABILITATION CENTER 4070 HIGHWAY 17 BYPASS MURRELLS INLET SC 29576 43T016 AVERA MCKENNAN REHABILITATION UNIT 1000 E 23RD ST 5TH FLOOR SIOUX FALLS SD 57105 43T027 SANFORD MEDICAL CENTER 1305 W 18TH STREET SIOUX FALLS SD 57117 43T077 REGIONAL REHABILITATION INSTITUTE 2908 5TH ST. RAPID CITY SD 57701 443025 SISKIN HOSPITAL FOR PHYSICAL REHABILITATION 1 SISKIN PLAZA CHATTANOOGA TN 37403 443027 HEALTHSOUTH REHABILITATION HOSPITAL 113 CASSEL DRIVE KINGSPORT TN 37660 443028 VANDERBILT STALLWORTH REHAB HOSPITAL 2201 CHILDRENS WAY NASHVILLE TN 37212 443029 HEALTHSOUTH REHABILITATION HOSPITAL OF MEMPHIS 1282 UNION AVENUE MEMPHIS TN 38104 443030 SPIRE CANE CREEK REHABILITATION HOSPITAL 180 MOUNT PELIA ROAD MARTIN TN 38237 443031 HEALTHSOUTH REHABILITATION HOSPITAL - NORTH 4100 AUSTIN PEAY HIGHWAY MEMPHIS TN 38128 443032 HEALTHSOUTH CHATTANOOGA REHAB HOSPITAL 2412 MCCALLIE AVENUE CHATTANOOGA TN 37404 443033 QUILLEN REHABILITATION HOSPITAL 2511 WESLEY STREET JOHNSON CITY TN 37601 443034 BAPTIST MEMORIAL REHABILITATION HOSPITAL 1240 S GERMANTOWN ROAD GERMANTOWN TN 38138 443035 HEALTHSOUTH REHABILITATION HOSPITAL OF FRANKLIN 1000 PHYSICIANS WAY FRANKLIN TN 37067 443036 SPIRE REHABILITATION HOSPITAL 616 WEST FOREST AVENUE JACKSON TN 38301 44T003 SUMNER REGIONAL MEDICAL CENTER P.O. BOX 1558 GALLATIN TN 37066 44T006 SKYLINE REHAB CENTER 3441 DICKERSON PIKE NASHVILLE TN 37207 44T035 TENNOVA HEALTHARE - CLARKSVILLE 651 DUNLOP LANE CLARKSVILLE TN 37040 44T046 HORIZON REHABILITATION CENTER 111 HIGHWAY 70 EAST DICKSON TN 37055 44T050 TAKOMA REGIONAL HOSPITAL 401 TAKOMA AVENUE GREENEVILLE TN 37743 44T058 SOUTHERN TENNESSEE MEDICAL CTR 185 HOSPITAL ROAD WINCHESTER TN 37398 44T059 THE REHAB CENTER AT COOKEVILLE RMC 215 WEST 6TH STREET COOKEVILLE TN 38501 44T067 LAKEWAY REGIONAL HOSPITAL 726 MCFARLAND ST. MORRISTOWN TN 37814 44T120 TENNOVA REHAB CARE CENTER 900 E. OAK HILL AVENUE KNOXVILLE TN 37917 44T125 PATRICIA NEAL REHABILITATION CENTER 1901 CLINCH AVENUE KNOXVILLE TN 37916 44T133 ST. THOMAS MIDTOWN INPATIENT REHAB UNIT 2000 CHURCH STREET NASHVILLE TN 37236 44T150 SUMMIT MEDICAL CENTER 5655 FRIST BLVD HERMITAGE TN 37076 44T151 RIVER PARK INPATIENT REHABILITATION 1559 SPARTA RD MCMINNVILLE TN 37110 44T152 REHABILITATION HOSPITAL OF MEMPHIS 890 MADISON AVENUED MEMPHIS TN 38103 44T156 PARKRIDGE MEDICAL CENTER 2333 MCCALLIE AVE CHATTANOOGA TN 37404 44T175 CROCKETT HOSPITAL REHAB UNIT 1607 S LOCUST AVE LAWRENCEBURG TN 38464 44T183 SAINT FRANCIS HOSPITAL 5959 PARK AVENUE MEMPHIS TN 38119 44T187 JACK M ROE REHABILITATION UNIT 315 OAK ST LIVINGSTON TN 38570 44T193 TENNOVA 500 PARK AVENUE LEBANON TN 37087 44T197 SOUTHERN HILLS MEDICAL CENTER 391 RD NASHVILLE TN 37211 44T231 TRUSTPOINT HOSPITAL OF MURFREESBORO 1009 N THOMPSON LANE MURFREESBORO TN 37129 453025 TIRR MEMORIAL HERMANN 1333 MOURSUND AVE HOUSTON TX 77030 453029 HEALTHSOUTH REHABILITATION HOSPITAL OF HUMBLE 19002 MCKAY DRIVE HUMBLE TX 77338 453031 ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SAN AN 9119 CINNAMON HILL SAN ANTONIO TX 78240 453035 WARM SPRINGS REHAB HOSPITAL OF SAN ANTONIO LLC 5101 MEDICAL DR SAN ANTONIO TX 78229 453036 BAYLOR INSTITUTE FOR REHABILITATION 909 NORTH WASHINGTON AVENUE DALLAS TX 75246 453040 HEALTHSOUTH REHABILITATION HOSPITAL OF ARLINGTON 3200 MATLOCK ARLINGTON TX 76015 453041 HEALTHSOUTH REHABILITATION HOSPITAL OF FORT WORTH 1212 WEST LANCASTER FORT WORTH TX 76102 453042 HEALTHSOUTH CITY VIEW REHAB HOSPITAL 6701 OAKMONT BOULEVARD FORT WORTH TX 76132 453047 HEALTHSOUTH PLANO REHABILITATION HOSPITAL 2800 W 15TH ST PLANO TX 75075 453048 PAM REHABILITATION HOSPITAL OF BEAUMONT 3340 PLAZA 10 DRIVE BEAUMONT TX 77707 453052 KINDRED REHABILITATION HOSPITAL CLEAR LAKE 655 E MEDICAL CENTER BLVD WEBSTER TX 77598

Page 16 of 20 IRFs THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR APU FY2019

CCN IRF Name Address City State ZIP 453053 HEALTHSOUTH REHABILITATION HOSPITAL OF TEXARKANA 515 WEST 12TH ST TEXARKANA TX 75501 453054 HEALTHSOUTH REHAB HOSPITAL OF WICHITA FALLS 3901 ARMORY ROAD WICHITA FALLS TX 76301 453056 CHRISTUS TRINITY MOTHER FRANCES REHABILITATION HOS 3131 TROUP HWY TYLER TX 75701 453057 HEALTHSOUTH REHABILITATION OF MIDLAND ODESSA 1800 HERITAGE BOULEVARD MIDLAND TX 79707 453059 HEALTHSOUTH REHAB HOSPITAL THE WOODLANDS 18550 I 45 SOUTH CONROE TX 77384 453065 CHRISTUS ST MICHAEL REHAB HOSPITAL 2400 ST MICHAEL DRIVE TEXARKANA TX 75503 453072 ETMC REHAB 701 OLYMPIC PLAZA CIRCLE TYLER TX 75701 453086 HIGHLANDS REHABILITATION HOSPITAL 1395 GEORGE DIETER DRIVE EL PASO TX 79936 453091 WESLACO REGIONAL REHABILITATION HOSPITAL LLC 906 JAMES STREET WESLACO TX 78596 453092 SOUTH TEXAS REHABILTATION HOSPITAL 425 EAST ALTON GLOOR BLVD BROWNSVILLE TX 78526 453096 VIBRA REHABILITATION HOSPITAL OF AMARILLO 7200 WEST 9TH STREET AMARILLO TX 79106 673025 PAM REHABILITATION HOSPITAL OF ALLEN 1001 RAINTREE CIRCLE ALLEN TX 75013 673027 CENTRAL TEXAS REHABILITATION HOSPITAL 700 W 45TH ST AUSTIN TX 78705 673029 HEALTHSOUTH REHABILITAITON HOSPITAL OF RICHARDSON 3351 WATERVIEW PARKWAY RICHARDSON TX 75080 673030 KATE DISHMAN REHABILITATION HOSPITAL 2830 CALDER ST 6TH FL SOUTH BEAUMONT TX 77702 673031 METHODIST REHABILITATION HOSPITAL 3020 WEST WHEATLAND ROAD DALLAS TX 75237 673032 RELIANT REHABILITATION HOSPITAL OF CENTRAL TEXAS 1400 HESTER'S CROSSING ROUND ROCK TX 78681 673034 RELIANT REHABILITATION HOSPITAL NORTH HOUSTON 117 VISION PARK BLVD SHENANDOAH TX 77302 673035 BAYLOR INSTITUTE FOR REHABILITATION AT FORT WORTH 6601 HARRIS PARKWAY FORT WORTH TX 76132 673036 SELECT REHABILITATION HOSPITAL OF DENTON 2620 SCRIPTURE STREET DENTON TX 76201 673038 MEMORIAL HERMANN REHABILITATION HOSPITAL KATY 21720 KINGSLAND BLVD, SUITE 102 KATY TX 77450 673039 RELIANT REHABILITATION HOSPITAL ABILENE 6401 DIRECTORS PARKWAY ABILENE TX 79606 673040 GLOBAL REHABILITATION HOSPITAL 19126 STONE HUE SAN ANTONIO TX 78258 673041 CARRUS REHABILITATION HOSPITAL 1810 WEST HIGHWAY 82 SHERMAN TX 75092 673042 HEALTHSOUTH SUGAR LAND REHABILITATION HOSPITAL 1325 HWY 6 SUGAR LAND TX 77478 673043 HEALTHSOUTH REHABILITATION HOSPITAL OF DALLAS 7930 NORTHAVEN ROAD DALLAS TX 75230 673044 HEALTHSOUTH REHABILITATION HOSPITAL OF THE MIDCITI 2304 HIGHWAY 121 BEDFORD TX 76021 673045 MESQUITE REHABILITATION INSTITUTE 1023 N BELTLINE ROAD MESQUITE TX 75149 673046 BAYLOR INSTITUTE FOR REHABILITATION AT FRISCO 2990 LEGACY DRIVE FRISCO TX 75034 673048 TEXAS REHABILITATION HOSPITAL 425 ALABAMA AVENUE FORT WORTH TX 76104 673049 NEW BRAUNFELS REG REHAB HOSP INC 2041 SUNDANCE PARKWAY NEW BRAUNFELS TX 78130 673050 HEALTHSOUTH REHABILITATION HOSPITAL OF CYPRESS 13031 WORTHAM CENTER DRIVE HOUSTON TX 77065 673051 KINDRED REHABILITATION HOSPITAL NORTHEAST HOUSTON 18839 MCKAY BOULEVARD HUMBLE TX 77338 673052 HEALTHSOUTH REHABILITATION HOSPITAL THE VINTAGE 20180 CHASEWOOD PARK DRIVE HOUSTON TX 77070 673053 CORPUS CHRISTI REHABILITATION HOSPITAL LLC 5726 ESPLANADE DRIVE CORPUS CHRISTI TX 78414 673054 HEALTHSOUTH REHABILITATION HOSPITAL - SOUTH AUSTIN 330 W BEN WHITE BLVD AUSTIN TX 78704 673055 ACCEL REHABILITATION HOSPITAL OF PLANO 2301 MARSH LANE SUITE 200 PLANO TX 75093 673056 PAM REHABILITATION HOSPITAL OF 101 JAMES COLEMAN DRIVE VICTORIA TX 77904 673057 WARM SPRINGS REHABILITATION HOSPITAL OF KYLE 5980 KYLE PARKWAY KYLE TX 78640 673058 VIBRA REHABILITATION HOSPITAL OF LAKE TRAVIS 2000 MEDICAL DRIVE LAKEWAY TX 78734 673059 LAREDO REHABILITATION HOSPITAL, LLC 2005 A BUSTAMANTE STREET LAREDO TX 78041 673060 TEXAS REHABILITATION HOSPITAL OF ARLINGTON 900 W ARBROOK BLVD ARLINGTON TX 76015 673061 BAY AREA REHABILITATION HOSPITAL 110 EAST MEDICAL CENTER BLVD WEBSTER TX 77598 673062 WEATHERFORD REHABILITATION HOSPITAL LLC 703 EUREKA STREET WEATHERFORD TX 76086 673063 TRUSTPOINT REHAB HOSPITAL OF LUBBOCK 4302 PRINCETON LUBBOCK TX 79415 673064 ICARE REHABILITATION HOSPITAL 3100 PETERS COLONY ROAD FLOWER MOUND TX 75022 673065 CHI ST JOSEPH HEALTHSOUTH REHABILITATION HOSPITAL 1600 JOSEPH DR BRYAN TX 77802 673066 HEALTHSOUTH REHABILITATION HOSPITAL OF PEARLAND 2121 BUSINESS CENTER DR PEARLAND TX 77584 45T007 SID PETERSON MEMORIAL HOSPITAL 551 HILL COUNTRY DR. KERRVILLE TX 78028 45T015 PARKLAND HEALTH HOSPITAL SYS 5200 HARRY HINES BLVD DALLAS TX 75235 45T032 CHRISTUS GOOD SHEPHERD MEDICAL CENTER - LONGVIEW 700 EAST MARSHALL AVENUE LONGVIEW TX 75601 45T033 VALLEY BAPTIST HEALTH SYSTEM REHAB UNIT 2101 PEASE STREET HARLINGEN TX 78550 45T035 ST. JOSEPH MEDICAL CENTER 1401 ST. JOSEPH PARKWAY HOUSTON TX 77002 45T046 CHRISTUS SPOHN REHABILITIATION CENTER 600 ELIZABETH ST. CORPUS CHRISTI TX 78404

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CCN IRF Name Address City State ZIP 45T058 BAPTIST HEALTH SYSTEM 7930 FLOYD CURL SAN ANTONIO TX 78229 45T068 MEMORIAL HERMANN TEXAS MEDICAL CENTER REHAB UNIT 6411 FANNIN HOUSTON TX 77030 45T072 BRAZOSPORT MEMORIAL HOSPITAL 100 MEDICAL DRIVE LAKE JACKSON TX 77566 45T079 BAYLOR SCOTT & WHITE INSTITUTE FOR REHABILITATION 1901 N. MACARTHUR IRVING TX 75061 45T080 TITUS REGIONAL MEDICAL CENTER 2001 N. JEFFERSON MT. PLEASANT TX 75455 45T092 FORT DUNCAN REGIONAL MEDICAL CENTER 3333 N FOSTER MALDONADO BLVD EAGLE PASS TX 78852 45T097 BAYSHORE MEDICAL CENTER 4000 SPENCER HIGHWAY PASADENA TX 77504 45T101 HILLCREST BAPTIST MED CTR 100 HILLCREST MEDICAL BLVD WACO TX 76712 45T104 GUADALUPE REGIONAL MEDICAL CTR 1215 EAST COURT STREET SEGUIN TX 78155 45T107 LAS PALMAS REHABILITATION HOSPITAL 300 WAYMORE EL PASO TX 79902 45T119 EDINBURG REGIONAL MEDICAL CTR 1102 W TRENTON EDINBURG TX 78539 45T130 NIX HEALTH CARE SYSTEM 4330 VANCE JACKSON SAN ANTONIO TX 78230 45T132 MEDICAL CENTER HOSPITAL 500 W 4TH ST ODESSA TX 79761 45T147 DETAR HEALTHCARE SYSTEM 506 E SAN ANTONIO VICTORIA TX 77902 45T176 MISSION REGIONAL MEDICAL CENTER 900 S. BRYAN RD. MISSION TX 78572 45T184 MEMORIAL HERMANN HOSPITAL 7737 SW FWY HOUSTON TX 77074 45T193 ST. LUKES EPISCOPAL HOSPITAL 6720 BERTNER HOUSTON TX 77030 45T196 PARIS REGIONAL MEDICAL CENTER 820 CLARKSVILLE STREET PARIS TX 75460 45T209 NORTHWEST TEXAS HEALTHCARE SYS 1501 S COULTER AMARILLO TX 79109 45T211 MEMORIAL MED CENTER OF EAST TE 1201 WEST FRANK STREET LUFKIN TX 75901 45T213 UNIVERSITY HEALTH SYSTEM 4502 MEDICAL DRIVE SAN ANTONIO TX 78229 45T222 CHCA CONROE LP 504 MEDICAL CENTER BLVD CONROE TX 77304 45T229 HENDRICK CENTER FOR REHABILITATION 1934 HICKORY ABILENE TX 79601 45T231 BSA HEALTH SYSTEM 1600 WALLACE BLVD AMARILLO TX 79106 45T236 CHRISTUS MOTHER FRANCES HOSPITAL- SULPHUR SPRINGS 115 AIRPORT ROAD SULPHUR SPRINGS TX 75482 45T271 WISE HEALTH SYSTEM 2000 S. FM 51 DECATUR TX 76234 45T289 QUENTIN MEASE COMMUNITY HOSPITAL 3601 N MACGREGOR HOUSTON TX 77004 45T324 REBA MC ENTIRE CTR FOR REHAB 1200 REBA MCENTIRE LANE DENISON TX 75020 45T346 MEMORIAL HERMANN BAPTIST BEAUMONT 3080 COLLEGE ST BEAUMONT TX 77701 45T352 HUNT MEMORIAL HOSPITAL DISTRIC 4215 JOE RAMSEY BLVD GREENVILLE TX 75401 45T358 HOUSTON METHODIST HOSPITAL 6447 MAIN STREET HOUSTON TX 77030 45T388 METROPOLITAN METHODIST HOSPITAL 1310 MCCULLOUGH SAN ANTONIO TX 78212 45T403 MEDICAL CENTER OF MCKINNEY 130 S CENTRAL EXPRESSWAY MCKINNEY TX 75070 45T424 SAN JACINTO METHODIST HOSPITAL 4401 GARTH RD BAYTOWN TX 77521 45T431 ST DAVIDS MEDICAL CENTER 919 E 32ND ST AUSTIN TX 78705 45T462 PRESBYTERIAN HOSPITAL OF DALLAS 8200 WALNUT HILL LANE DALLAS TX 75231 45T508 MEMORIAL HOSPITAL CECIL R. BOMAR REHAB 1204 N. MOUND ST. NACOGDOCHES TX 75961 45T518 THE MEDICAL CENTER OF SOUTHEAST TEXAS 2555 JIMMY JOHNSON BLVD PORT ARTHUR TX 77640 45T563 BAYLOR SCOTT & WHITE INSTITUTE FOR REHABILITATION 1650 W. COLLEGE STREET GRAPEVINE TX 76051 45T571 SHANNON WEST TEXAS MEMORIAL HOSPITAL 120 E.HARRIS SAN ANGELO TX 76903 45T617 CLEAR LAKE REGIONAL MEDICAL CENTER 500 MEDICAL CENTER BLVD WEBSTER TX 77598 45T638 HOUSTON NORTHWEST MEDICAL CTR 710 CYPRESS CREEK PKWY HOUSTON TX 77040 45T643 PROVIDENCE IN-PATIENT REHABILITATION CENTER 230 CALLE DEL NORTE LAREDO TX 78041 45T644 WEST HOUSTON MEDICAL CENTER 12141 RICHMOND AVE HOUSTON TX 77082 45T647 MEDICAL CITY DALLAS HOSPITAL 7777 FOREST LANE DALLAS TX 75230 45T651 MEDICAL CENTER OF PLANO 1620 COIT ROAD PLANO TX 75075 45T661 ODESSA REGIONAL MEDICAL CENTER 520 E 6TH ST ODESSA TX 79761 45T668 SIERRA MEDICAL CENTER 1625 MEDICAL CENTER DR. EL PASO TX 79902 45T669 MEDICAL CITY LEWISVILLE 500 W MAIN ST LEWISVILLE TX 75057 45T670 TOMBALL REGIONAL MEDICAL CTR 605 HOLDERRIETH BLVD TOMBALL TX 77375 45T672 PLAZA MEDICAL CTR OF FT WORTH 900 EIGHTH AVE FORT WORTH TX 76104 45T675 MEDICAL CITY ARLINGTON REHAB 3301 MATLOCK ROAD ARLINGTON TX 76015 45T697 SOUTHWEST GENERAL HOSPITAL 7400 BARLITE BLVD SAN ANTONIO TX 78224 45T718 ROUND ROCK INPT REHAB UNIT 2400 ROUND ROCK AVE ROUND ROCK TX 78681

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CCN IRF Name Address City State ZIP 45T747 PALESTINE REGIONAL MEDICAL CENTER 2900 SOUTH LOOP 256 PALESTINE TX 75801 45T766 ZALE LIPSHY UNIVERSITY HOSPITAL 5151 HARRY HINES BLVD. DALLAS TX 75235 45T775 KINGWOOD MEDICAL CENTER 22999 U.S. HWY 59 KINGWOOD TX 77339 45T788 CORPUS CHRISTI MEDICAL CENTER 3315 S ALAMEDA ST CORPUS CHRISTI TX 78411 45T809 NORTH AUSTIN MEDICAL CENTER 12221 NORTH MOPAC EXPRESSWAY AUSTIN TX 78758 45T862 CHI ST. LUKES HEALTH - BAYLOR REHABILITATION 17200 ST. LUKE'S WAY THE WOODLANDS TX 77384 45T869 DOCTORS HOSPITAL AT RENAISSANCE 5501 S. MCCOLL EDINBURG TX 78539 463025 HEALTHSOUTH REHABILITATION HOSPITAL OF UTAH 8074 SOUTH 1300 EAST SANDY UT 84094 463027 NORTHERN UTAH REHABILITATION HOSPITAL 5825 HARRISON BOULEVARD SOUTH OGDEN UT 84403 46T001 UTAH VALLEY HOSPITAL 1034 NORTH 500 WEST PROVO UT 84604 46T003 SALT LAKE REGIONAL MEDICAL CENTER 1050 EAST SOUTH TEMPLE SALT LAKE CITY UT 84102 46T004 MCKAY-DEE HOSPITAL - INPATIENT REHABILITATION 4401 HARRISON BLVD OGDEN UT 84403 46T009 UNIVERSITY OF UTAH HOSPITALS AND CLINICS 50 NORTH MEDICAL DRIVE SALT LAKE CITY UT 84132 46T010 INTERMOUNTAIN MEDICAL CENTER 5121 SO. COTTONWOOD STREET MURRAY UT 84157 46T021 DIXIE REGIONAL MEDICAL CENTER 544 S 400 EAST ST GEORGE UT 84770 46T041 DAVIS HOSPITAL MEDICAL CTR 1600 WEST ANTELOPE DRIVE LAYTON UT 84041 46T047 ST MARKS HOSPITAL 1200 E 3900 SOUTH SALT LAKE CITY UT 84124 46T051 JORDAN VALLEY MEDICAL CENTER 3580 W 9000 S WEST JORDAN UT 84088 493025 SHELTERING ARMS HOSPITAL 8254 ATLEE ROAD MECHANICSVILLE VA 23116 493027 RIVERSIDE REHABILITATION INSTITUTE 245 CHESAPEAKE AVENUE NEWPORT NEWS VA 23607 493028 HEALTHSOUTH REHABILITATION HOSPITAL OF VIRGINIA 5700 FITZHUGH AVENUE RICHMOND VA 23226 493029 UNIVERSITY OF VIRGINIA - HEALTHSOUTH, LLC 515 RAY C HUNT DRIVE CHARLOTTESVILLE VA 22903 493030 SHELTERING ARMS HOSPITAL SOUTH 13700 SAINT FRANCIS BLVD SUITE 400 MIDLOTHIAN VA 23114 493031 HEALTHSOUTH REHABILITATION HOSPITAL OF PETERSBURG 95 MEDICAL PARK BLVD PETERSBURG VA 23805 493032 HEALTHSOUTH REHABILITATION HOSPITAL OF FREDERICKS 300 PARK HILL DRIVE FREDERICKSBURG VA 22401 493033 HEALTHSOUTH REHABILITATION HOSPITAL OF NORTHERN VA 24430 MILLSTREAM DRIVE ALDIE VA 20105 493034 THE REHABILITATION HOSPITAL OF SOUTHWEST VA 103 NORTH STREET BRISTOL VA 24201 49T001 REGIONAL REHAB CENTER OF NORTON COMMUNITY HOSPITAL 100 15TH ST NW NORTON VA 24273 49T005 WINCHESTER REHABILITATION CTR 333 WEST CORK STREET WINCHESTER VA 22601 49T007 SENTARA NORFOLK GENERAL HOSP 600 GRESHAM DRIVE NORFOLK VA 23507 49T017 MARYVIEW CENTER FOR PHYSICAL REHABILITATION 3636 HIGH STREET PORTSMOUTH VA 23707 49T018 AUGUSTA HEALTH 78 MEDICAL CENTER DR FISHERSVILLE VA 22939 49T021 VIRGINIA BAPTIST HOSPITAL 3300 RIVERMONT AVE LYNCHBURG VA 24503 49T024 CARILION CLINIC REHABILITATION 101 ELM AVENUE, SE ROANOKE VA 24013 49T032 VCUHS 1300 E MARSHALL ST RICHMOND VA 23298 49T038 SMYTH COUNTY COMMUNITY HOSPITAL 245 MEDICAL PARK DRIVE MARION VA 24354 49T048 LEWIS- MEDICAL CENTER 1900 ELECTRIC ROAD SALEM VA 24153 49T050 VIRGINIA HOSPITAL CENTER 1701 N GEORGE MASON DR ARLINGTON VA 22205 49T057 SENTARA VIRGINIA BEACH GENERAL 1060 FIRST COLONIAL RD VIRGINIA BEACH VA 23454 49T066 SENTARA WILLIAMSBURG REGIONAL 100 SENTARA CIRCLE WILLIAMSBURG VA 23188 49T075 DANVILLE REGIONAL MEDICAL CTR 142 SOUTH MAIN STREET DANVILLE VA 24541 49T112 CJW MEDICAL CENTER 1401 JOHNSTON-WILLIS DRIVE RICHMOND VA 23235 49T118 HDH-PARHAM CAMPUS 7700 EAST PARHAM ROAD RICHMOND VA 23294 49T122 INOVA REHAB CENTER@INOVA MOUNT VERNON HOSPITAL 2501 PARKERS LANE ALEXANDRIA VA 22306 47R302 MT ASCUTNEY HOSPITAL HEALTH CENTER 289 COUNTY ROAD WINDSOR VT 05089 47T003 THE UNIVERSITY OF VERMONT MEDICAL CENTER INPATIENT FANNY ALLEN CAMPUS COLCHESTER VT 05446 50R337 LOURDES MEDICAL CENTER 520 N 4TH AVE PASCO WA 99302 50T002 PROVIDENCE ST MARY MEDICAL CENTER 401 W. POPLAR ST WALLA WALLA WA 99362 50T008 UNIVERSITY OF WASHINGTON MED CTR 1959 N.E. PACIFIC AVE. SEATTLE WA 98195 50T012 ASTRIA REGIONAL 110 SOUTH 9TH AVE YAKIMA WA 98902 50T014 PROVIDENCE EVERETT MEDICAL CENTER 916 PACIFIC AVENUE EVERETT WA 98206 50T025 SWEDISH MEDICAL CENTER 500 17TH AVE SEATTLE WA 98122 50T030 ST JOSEPH HOSPITAL 2901 SQUALICUM PARKWAY BELLINGHAM WA 98225 50T050 SOUTHWEST WASHINGTON MED CTR 400 NE MOTHER JOSEPH PLACE VANCOUVER WA 98668

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CCN IRF Name Address City State ZIP 50T058 KADLEC REGIONAL MEDICAL CENTER 888 SWIFT BLVD RICHLAND WA 99352 50T064 HARBORVIEW MEDICAL CENTER 325 9TH AVE SEATTLE WA 98104 50T079 GOOD SAMARITAN HOSPITAL 407 14TH AVENUE SE PUYALLUP WA 98371 50T108 ST. JOSEPH MEDICAL CENTER 1717 SOUTH J ST TACOMA WA 98405 50T124 EVERGREEN HEALTHCARE 12040 NE 128 ST. KIRKLAND WA 98034 50T148 WENATCHEE VALLEY HOSPITAL 820 N CHELAN WENATCHEE WA 98801 523025 ASCENSION SACRED HEART REHABILITATION INSTITUTE 2301 N LAKE DRIVE 8TH FLOOR MILWAUKEE WI 53211 523027 REHABILITATION HOSPITAL OF WISCONSIN 1625 COLD WATER CREEK DRIVE WAUKESHA WI 53188 523028 UW HEALTH REHABILITATION HOSPITAL 5115 N BILTMORE LN MADISON WI 53718 52T013 SACRED HEART HOSPITAL 900 W CLAIREMONT AVE EAU CLAIRE WI 54701 52T030 WAUSAU HOSPITAL 333 PINE RIDGE BLVD WAUSAU WI 54401 52T037 MARSHFIELD MEDICAL CENTER 611 ST. JOSEPH AVENUE MARSHFIELD WI 54449 52T045 THEDACARE REGIONAL MEDICAL CENTER-NEENAH 130 SECOND ST NEENAH WI 54956 52T048 MERCY MEDICAL CENTER 500 SOUTH OAKWOOD ROAD OSHKOSH WI 54904 52T049 BELLIN MEMORIAL HOSPITAL 744 S WEBSTER AVE GREEN BAY WI 54301 52T075 ST VINCENT HOSPITAL 835 S. VAN BUREN STREET GREEN BAY WI 54307 52T087 GUNDERSEN LUTHERAN MEDICAL CENTER INC 1900 SOUTH AVENUE LA CROSSE WI 54601 52T088 ST AGNES HOSPITAL 430 E DIVISION ST FOND DU LAC WI 54935 52T096 WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS 3801 SPRING STREET RACINE WI 53405 52T102 AURORA LAKELAND MEDICAL CENTER REHAB UNIT W3985 COUNTY RD NN ELKHORN WI 53121 52T103 COMMUNITY MEMORIAL HOSPITAL W180 N8085 TOWN HALL ROAD MENOMONEE FALLS WI 53051 52T136 ST JOSEPHS HOSPITAL 5000 WEST CHAMBERS STREET MILWAUKEE WI 53210 52T138 AURORA HEALTH CARE METRO INC 2900 W OKLAHOMA AVE MILWAUKEE WI 53215 52T177 FROEDTERT MEMORIAL LUTHERAN HOSPITAL 9200 WEST WISCONSIN AVENUE MILWAUKEE WI 53226 52T193 AURORA BAYCARE MEDICAL CENTER PO 8900 GREEN BAY WI 54308 52T206 AURORA MEDICAL CENTER 36500 AURORA DRIVE SUMMIT WI 53066 513026 HEALTHSOUTH SOUTHERN HILLS REHABILITATION HOSPITAL 120 12TH ST PRINCETON WV 24740 513027 HEALTHSOUTH WESTERN HILLS REGIONAL REHAB HOSPITAL #3 WESTERN HILLS DRIVE PARKERSBURG WV 26105 513028 HEALTHSOUTH REHABILITATION HOSPITAL OF HUNTINGTON 6900 WEST COUNTRY CLUB DRIVE HUNTINGTON WV 25705 513030 HEALTHSOUTH MOUNTAINVIEW REGIONAL REHAB HOSPITAL 1160 VAN VOORHIS ROAD MORGANTOWN WV 26504 51T022 CHARLESTON AREA MED CNTR 501 MORRIS STREET CHARLESTON WV 25301 51T023 WEIRTON MEDICAL CENTER 601 COLLIERS WAY WEIRTON WV 26062 51T048 LOGAN REGIONAL MEDICAL CENTER 20 HOSPITAL DR LOGAN WV 25601 533027 ELKHORN VALLEY REHABILITATION HOSPITAL LLC 5715 EAST 2ND STREET CASPER WY 82609 53T014 CHEYENNE REGIONAL MEDICAL CENTER ARU 2600 EAST 18TH ST. CHEYENNE WY 82001

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