Organization Active NPI

The Specialty Hospital, LLC

Doing business as Kindred Hospital Rome

  • Long Term Care Hospital
  • Rome, GA
National Provider Identifier
1225035462
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
THE SPECIALTY HOSPITAL, LLC
Doing business as
Kindred Hospital Rome
Practice address
320 Turner McCall Blvd.
Rome, GA 30165-5621
Phone
(706) 509-4100
Fax
(706) 509-4150
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X Primary
Special Hospital 284300000X 057589 GA

Addresses

Primary practice location

320 Turner McCall Blvd.
Rome, GA 30165-5621

Mailing address

320 Turner McCall Blvd.
Rome, GA 30165-5621
Phone (706) 509-4100

Other identifiers 1

IdentifierTypeStateIssuer
000886179AMedicaidGA

Other names 1

  • Kindred Hospital Rome Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 112010

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
KINDRED HOSPITAL ROME
Certification status
Terminated Voluntary: merger or closure, Apr 6, 2020
Provider type (POS)
Hospital – Long-term
Participating since
Jul 1, 2001
Last certification
Nov 23, 2016
Beds
45
Ownership / control type
Private (for profit)
Most recent change of ownership
Jun 1, 2008 (1 total)
Facility address
320 Turner McCall Boulevard
Rome, GA 30165

National Provider Directory

National Provider Directory

Member of 1

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

Locations

304 Turner McCall Blvd SW
Fl 4
Rome, GA 30165
Phone (706) 509-4100

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1225035462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 TURNER MCCALL BLVD.",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655621",
            "telephone_number": "706-509-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 TURNER MCCALL BLVD.",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655621",
            "telephone_number": "706-509-4100",
            "fax_number": "706-509-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPECIALTY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "GA",
            "license": "057589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000886179A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital Rome",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital Rome",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.