SELECT SPECIALTY HOSPITAL - MEMPHIS INC (NPI# 1780684423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780684423 |
| Entity Type | Organization |
| Organization Name | SELECT SPECIALTY HOSPITAL - MEMPHIS INC |
| Practice Address |
1265 Union Avenue 2nd, 4th, and 5th Floors Memphis TN 38104 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept. Mechanicsburg PA 17055-4325 |
| Practice Telephone | 9016844110 |
| Practice Fax Number | 9016841277 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2020-10-14 |
| 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 | 0000000147 | TN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS TN | 3087355 | 01 |
| Street Address |
1265 UNION AVENUE 2ND, 4TH, AND 5TH FLOORS |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427604164 | Natasha Waldon-turner | Nurse Practitioner | 1265 Union Avenue, 2 Shorb Tower, Memphis, TN 38104 | 2019-08-16 |
| 1619397346 | Samuel J Riney | Internal Medicine | 1265 Union Avenue, 2 Shorb Tower, Memphis, TN 38104-3415 | 2014-04-21 |
| 1396002796 | Grace Ingram Newman | Radiology | 1265 Union Avenue, 7 Thomas, Memphis, TN 38104 | 2012-04-23 |
| 1730468273 | James Gregory Roberts Jr. | Nurse Practitioner | 1265 Union Avenue, Memphis, TN 38104 | 2011-08-15 |
| 1316148547 | Brion Vincent Randolph | Internal Medicine | 1265 Union Avenue, 2 Shorb Tower, Memphis, TN 38104 | 2007-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| 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 |
|---|---|---|---|---|
| 1891917571 | Memphis Long Term Care Specialty Hospital, LLC | Long Term Care Hospital | 3391 Old Getwell Road, Memphis, TN 38118 | 2007-05-03 |
| 1538240536 | Methodist Extended Care Hospital | Long Term Care Hospital | 225 South Claybrook, Memphis, TN 38104 | 2006-10-17 |
| 1790197945 | Regional Med Extended Care Hospital, LLC | Long Term Care Hospital | 890 Madison Ave, 4th Floor, Memphis, TN 38103-3409 | 2014-05-22 |
| 1801805502 | Baptist Memorial Regional Rehabilitation Services Inc | Long Term Care Hospital | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427127463 | Kindred Hospitals Limited Partnership | Long Term Care Hospital | 709 Walnut St, Chattanooga, TN 37402-1916 | 2006-11-06 |
| 1215937982 | Select Specialty Hospital Nashville Inc | Long Term Care Hospital | 2000 Hayes Street, Suite 500, Nashville, TN 37236-0001 | 2005-07-26 |
| 1942200522 | Select Specialty Hospital - North Knoxville Inc | Long Term Care Hospital | 7557b Dannaher Dr, Ste 145, Powell, TN 37849-3568 | 2005-07-26 |
| 1902806722 | Select Specialty Hospital - Knoxville Inc | Long Term Care Hospital | 1901 W Clinch Ave, 4th Fl N, Knoxville, TN 37916-2307 | 2005-07-22 |
| 1679924005 | Curahealth Nashville, LLC | Long Term Care Hospital | 1412 County Hospital Rd, Nashville, TN 37218-3007 | 2016-06-27 |
| 1588664999 | Select Specialty Hospital - Tricities Inc | Long Term Care Hospital | 1 Medical Park Blvd, 5th Floor West, Bristol, TN 37620-7430 | 2005-07-28 |
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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.