Scci Hospitals of America, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

97100101 Issued in PA

Legal business name

SCCI HOSPITALS OF AMERICA, LLC

Doing business as

Kindred Hospital South Philadelphia

Practice address

1930 S Broad St
Philadelphia, PA 19145-2328

Phone

(267) 570-5200

Fax

(215) 463-1028

NPI assigned

Oct 13, 2009

Last updated

May 2, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Terrance K. Dillon

Title

Assistant Secretary

Phone

(502) 596-7220

Specialties & licenses 1

Addresses

Other names 1

• Kindred Hospital South Philadelphia Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154656817. Details of each certification follow.

• CCN 392046 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 392046

Legal name

KINDRED HOSPITAL SOUTH PHILADELPHIA

Certification status

Terminated Voluntary: merger or closure, Jul 22, 2019

Provider type (POS)

Hospital – Long-term

Participating since

Jan 1, 2005

Last certification

May 2, 2013

Beds

58

Ownership / control type

Private (for profit)

Most recent change of ownership

Dec 16, 2009 (1 total)

Facility address

1930 South Broad Street Unit #12
Philadelphia, PA 19145

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Rehabcare Group East LLC

  dba RehabCare

  • Rehabilitation Clinic/Center
  • Jefferson City, MO
  • NPI 1972020394

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1154656817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452328",
            "telephone_number": "267-570-5200",
            "fax_number": "215-463-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCCI HOSPITALS OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "PA",
            "license": "97100101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital South Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital South Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nina Scarpinato, CRNP
• Emily Scaruzzi, DNP
• Jillian Scavello, MS OT R/L
• Christopher Scaven, DO
• Alessandra Marie Scavitto, CRNP
• Brooke Scelfo, OTR
• Lauren Scelsa, PA-C
• Stacy Jean Schaab, SLP
• Madeleine Rita Schaberg, M.D.
• Bonnie Schachter, MD

• Long Term Care Hospital in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Long Term Care Hospital in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.