SELECT SPECIALTY HOSPITAL - LITTLE ROCK/BMC INC (NPI# 1417957200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417957200 |
| Entity Type | Organization |
| Organization Name | SELECT SPECIALTY HOSPITAL - LITTLE ROCK/BMC INC |
| Practice Address |
9601 Interstate 630 Exit 7, 10th Floor Little Rock AR 72205-7202 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept. Mechanicsburg PA 17055-4325 |
| Practice Telephone | 5012021095 |
| Practice Fax Number | 5012021093 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2005-07-22 |
| 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 | AR3865 | AR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS AR | 10139 | 01 |
| Street Address |
9601 INTERSTATE 630 EXIT 7, 10TH FLOOR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619386778 | Mary Roberts | Registered Nurse | 9601 Interstate 630, Little Rock, AR 72205-7202 | 2014-08-03 |
| 1477968030 | Casey G Polk | Nurse Anesthetist, Certified Registered | 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202 | 2014-06-23 |
| 1659704351 | Sammantha Ann Hicks | Physical Therapist | 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202 | 2013-08-16 |
| 1114361425 | Chris Andrew Whaley | Rehabilitation Hospital | 9601 Interstate 630, Little Rock, AR 72205 | 2013-04-18 |
| 1366788796 | Chad Sullivan Stewart | Nurse Anesthetist, Certified Registered | 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202 | 2012-12-12 |
| 1225373657 | Emily Foster Eisenach | Nurse Anesthetist, Certified Registered | 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202 | 2012-12-12 |
| 1194061523 | Rebecca Wynne Novack | Nurse Anesthetist, Certified Registered | 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202 | 2012-12-12 |
| 1144462383 | Shayna Marie Wood | Pediatrics | 9601 Interstate 630, Little Rock, AR 72205-7202 | 2009-04-02 |
| 1316128499 | Kevin Charles Groustra | Physical Therapist | 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202 | 2007-11-17 |
| 1841489234 | Alicia Carter Brucks | Speech-Language Pathologist | 9601 Interstate 630, Little Rock, AR 72205-7202 | 2007-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| 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 |
|---|---|---|---|---|
| 1225139637 | Allegiance Specialty Hospital of Little Rock, LLC | Long Term Care Hospital | 11401 Interstate 30 Fl 2, Little Rock, AR 72209-7042 | 2006-09-26 |
| 1346630589 | Chg Hospital Little Rock, LLC | Long Term Care Hospital | 2 Saint Vincent Cir, 6th Floor, Little Rock, AR 72205-5423 | 2015-01-26 |
| 1649584608 | Uams | Long Term Care Hospital | 4301 W Markham St, 556, Little Rock, AR 72205-7101 | 2010-08-02 |
| 1578563326 | Select Specialty Hospital - Little Rock Inc | Long Term Care Hospital | 2 Saint Vincent Cir, 6th Fl, Little Rock, AR 72205-5423 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851812176 | Lhcg Cxix, LLC | Long Term Care Hospital | 300 Werner St Fl 3, Hot Springs, AR 71913-6406 | 2017-06-28 |
| 1790206910 | Lhcg Cxviii, LLC | Long Term Care Hospital | 7301 Rogers Ave Fl 4, Fort Smith, AR 72903-4100 | 2017-06-28 |
| 1689676272 | Regency Hospital of Northwest Arkansas, LLC | Long Term Care Hospital | 609 W Maple Ave, 6th Floor, Springdale, AR 72764-5335 | 2005-08-12 |
| 1346249372 | Select Specialty Hospital - Fort Smith Inc | Long Term Care Hospital | 1001 Towson Avenue, Fort Smith, AR 72901-4915 | 2005-07-20 |
| 1831506989 | Christus Continuing Care | Long Term Care Hospital | 7301 Rogers Ave, 4th Floor, Fort Smith, AR 72903-4100 | 2014-07-21 |
| 1912314063 | Christus Continuing Care | Long Term Care Hospital | 300 Werner St, 3rd Floor, Hot Springs, AR 71913-6406 | 2014-07-21 |
| 1003160771 | Dubuis Health System, Inc. | Long Term Care Hospital | 300 Werner St, 3rd Floor, Hot Springs, AR 71913-6406 | 2012-11-02 |
| 1649524315 | Dubuis Health System, Inc. | Long Term Care Hospital | 7301 Rogers Ave, 4th Floor, Fort Smith, AR 72903-4100 | 2012-11-02 |
| 1568715910 | Chg Cornerstone Hospital of Little Rock, LLC | Long Term Care Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2012-10-23 |
| 1033207675 | Advance Care Hospital | Long Term Care Hospital | 7301 Rogers Ave, 4th Floor, Fort Smith, AR 72903-4100 | 2006-10-10 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on SELECT SPECIALTY HOSPITAL - LITTLE ROCK/BMC INC.
| 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.