SELECT SPECIALTY HOSPITAL - NORTHWEST INDIANA INC (NPI# 1194725796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194725796 |
| Entity Type | Organization |
| Organization Name | SELECT SPECIALTY HOSPITAL - NORTHWEST INDIANA INC |
| Practice Address |
5454 Hohman Ave 5th Floor Hammond IN 46325-1931 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept. Mechanicsburg PA 17055-4325 |
| Practice Telephone | 2198522409 |
| Practice Fax Number | 2199332298 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2010-09-02 |
| Authorized Official Name | MR. MICHAEL E. TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 008899 | IN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200110710A | 05 | |
| IN | BCBS IN | 000000112474 | 01 |
| Street Address |
5454 HOHMAN AVE 5TH FLOOR |
| City | HAMMOND |
| State | IN |
| Zip Code | 46325-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225491 | Franciscan Health Dyer & Hammond | Home Health | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2005-06-14 |
| 1518587310 | Kristen Brady | Pharmacist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2020-04-21 |
| 1932738093 | Oluwayomi Olalekan Omosebi | Physical Therapist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2020-04-02 |
| 1760012231 | Jacob Latham | Pharmacist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2020-01-23 |
| 1861033060 | Erica Lynn Deenihan | Nurse Practitioner | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-09-30 |
| 1568015394 | Danielle Rose Balzano | Registered Nurse | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-07-21 |
| 1386104826 | Daniela Lazarevic | Student in an Organized Health Care Education/Training Program | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-03-21 |
| 1629533872 | Thomas Blodgett | Nurse Practitioner | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-02-01 |
| 1073086252 | Scott T Fairhurst | Nurse Practitioner | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-01-10 |
| 1053848622 | Eshwar Nagraj Murthy | Hospitalist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2017-05-15 |
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| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851695019 | Triumph Hospital Northwest Indiana. LLC | Long Term Care Hospital | 5454 Hohman Ave, 5th Floor, Hammond, IN 46320 | 2011-01-03 |
| 1477789980 | Post Acute Medical At Hammond LLC | Long Term Care Hospital | 42074 Veterans Ave, Hammond, LA 70403-1408 | 2009-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215341391 | Indiana University Health Inc. | Long Term Care Hospital | 550 University Blvd Rm 3145, Indianapolis, IN 46202-5149 | 2014-06-17 |
| 1336499599 | Gregg Scott Shepherd | Long Term Care Hospital | 1075 W Cr 300 North, New Castle, IN 47362 | 2012-09-14 |
| 1174710750 | Physicians Hospital, LLC | Long Term Care Hospital | 1625 E Jefferson Blvd, Mishawaka, IN 46545-7103 | 2007-09-27 |
| 1871613398 | Northern Indiana Health Care System | Long Term Care Hospital | 45 E Miller Rd, La Fontaine, IN 46940-9292 | 2007-03-29 |
| 1104991447 | Deanna Lynne Harrington | Long Term Care Hospital | 3025 W Sycamore St, Kokomo, IN 46901-4176 | 2006-11-22 |
| 1558446021 | Kindred Hospitals Limited Partnership | Long Term Care Hospital | 1700 W 10th St, Indianapolis, IN 46222-3802 | 2006-10-25 |
| 1417032996 | Transitional Hospitals Corporation of Indiana, Inc. | Long Term Care Hospital | 607 Greenwood Springs Drive, Greenwood, IN 46143-1407 | 2006-10-25 |
| 1114972502 | St. Vincent Seton Specialty Hospital, Inc. | Long Term Care Hospital | 8050 Township Line Road, Indianapolis, IN 46260-1902 | 2006-05-23 |
| 1063414886 | Regency Hospital of Northwest Indiana, LLC | Long Term Care Hospital | 4321 Fir St, 4th Floor, East Chicago, IN 46312-3049 | 2005-08-11 |
| 1720087620 | Select Specialty Hospital - Indianapolis Inc | Long Term Care Hospital | 898 E Main St, Greenwood, IN 46143-1407 | 2005-07-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.