SELECT SPECIALTY HOSPITAL - MACOMB COUNTY INC (NPI# 1427564855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427564855 |
| Entity Type | Organization |
| Organization Name | SELECT SPECIALTY HOSPITAL - MACOMB COUNTY INC |
| Other Organization Name | SELECT SPECIALTY HOSPITAL - GROSSE POINTE |
| Practice Address |
22101 Moross Rd Detroit MI 48236-2148 |
| Mailing Address |
4714 Gettysburg Road Legal Dept Mechanicsburg PA 17055 |
| Practice Telephone | 7179721100 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179754503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 23-2023 | 01 | |
| MEDICARE | 232023 | 01 |
| Other Name | Type Code |
|---|---|
| Select Specialty Hospital - Grosse Pointe | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912907635 | Select Specialty Hospital - Macomb County Inc | Long Term Care Hospital | 215 North Ave, Mount Clemens, MI 48043-1716 | 2005-07-22 |
| Street Address |
22101 MOROSS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48236-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083609887 | Anne M Schneider | Obstetrics & Gynecology | 22101 Moross Rd, 313, Detroit, MI 48236-2148 | 2005-09-19 |
| 1346848827 | Tanya L Locke | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-10-15 |
| 1588261556 | Ryan Guthrie | Student in an Organized Health Care Education/Training Program | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-10-02 |
| 1578160743 | Lauren Kudirka | Speech-Language Pathologist | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-10-01 |
| 1952918740 | Lisa Colombo | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-09-26 |
| 1124635917 | Gjergj George Juncaj | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-09-26 |
| 1194337881 | Lori Holaly | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-08-23 |
| 1548870066 | Tamara Siblini | Student in an Organized Health Care Education/Training Program | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-08-10 |
| 1104436583 | David Mark Thomas | Student in an Organized Health Care Education/Training Program | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-07-31 |
| 1780293969 | Alexander Swend Mortensen | Student in an Organized Health Care Education/Training Program | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
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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 |
|---|---|---|---|---|
| 1801872379 | Scci Hospitals of America Inc. | Long Term Care Hospital | 4777 East Outer Drive, Detroit, MI 48234-3241 | 2005-12-16 |
| 1205836806 | Select Specialty Hospital - Northwest Detroit Inc | Long Term Care Hospital | 6071 W Outer Dr, 7th Floor, Detroit, MI 48235-2624 | 2005-07-26 |
| 1538426655 | Henry Ford Health System | Long Term Care Hospital | 2799 West Grand Blvd, Henry Ford Hospital, Detroit, MI 48101-2608 | 2012-04-13 |
| 1164734547 | Gulcin Altinok | Long Term Care Hospital | 4201 Saint Antoine St, Drh 3l 8, Detroit, MI 48201-2153 | 2010-07-13 |
| 1528259819 | Ltac Hospital Detroit | Long Term Care Hospital | 801 Virginia Park St, Third Floor, Detroit, MI 48202-1925 | 2007-08-05 |
| 1205986411 | St. John Hospital and Medical Center | Long Term Care Hospital | 22101 Moross Rd, Detroit, MI 48236-2148 | 2007-01-11 |
| 1407803810 | Select Specialty Hospital Grosse Pointe Inc | Long Term Care Hospital | 22101 Moross Rd, Detroit, MI 48236-2148 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972032209 | Special Care Hospital, LLC | Long Term Care Hospital | 1840 Wealthy St Se Fl 5, Grand Rapids, MI 49506-2921 | 2017-06-09 |
| 1508027624 | Vibra of Southeastern Michigan LLC | Long Term Care Hospital | 26400 West Outer Dr, Lincoln Park, MI 48146-2088 | 2008-06-20 |
| 1962512863 | Mclaren Bay Special Care | Long Term Care Hospital | 3250 E Midland Rd Ste 1, Bay City, MI 48706-2835 | 2006-08-30 |
| 1245230671 | Great Lakes Specialty Hosptial - Hackley LLC | Long Term Care Hospital | 1700 Clinton St, 2 South, 2nd and 3rd Floors, Muskegon, MI 49442-5502 | 2005-07-28 |
| 1912907635 | Select Specialty Hospital - Macomb County Inc | Long Term Care Hospital | 215 North Ave, Mount Clemens, MI 48043-1716 | 2005-07-22 |
| 1912906934 | Select Specialty Hospital - Flint Inc | Long Term Care Hospital | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2005-07-20 |
| 1225034895 | Select Specialty Hospital - Battle Creek Inc | Long Term Care Hospital | 300 North Ave, Fl 6, Battle Creek, MI 49017-3307 | 2005-06-28 |
| 1508908567 | Spectrum Health United Memorial | Long Term Care Hospital | 615 S Bower St, Greenville, MI 48838-2614 | 2007-02-13 |
| 1609800614 | Great Lakes Specialty Hospital - Oak LLC | Long Term Care Hospital | 200 Jefferson Ave Se, 5th Floor, Grand Rapids, MI 49503-4502 | 2006-07-10 |
| 1295767333 | Lakeland Specialty Hospital At Berrien Center | Long Term Care Hospital | 6418 Deans Hill Rd, Berrien Center, MI 49102-9750 | 2006-07-07 |
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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.