Organization Active NPI

Siskin Hospital for Physical Rehabilitation

  • Skilled Nursing Facility
  • Chattanooga, TN
National Provider Identifier
1326135898
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000113 Issued in TN
Legal business name
SISKIN HOSPITAL FOR PHYSICAL REHABILITATION
Doing business as
Siskin Subacute West
St Barnabas at Siskin Hospital, Siskin West
Practice address
1 Siskin PLZ
Chattanooga, TN 37403-1306
Phone
(423) 847-4100
Fax
(423) 634-4587
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Carol Arnhart
Title
Cfo
Phone
(423) 634-1587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0000000113 TN Primary

Addresses

Primary practice location

1 Siskin PLZ
Chattanooga, TN 37403-1306

Mailing address

1 Siskin PLZ
Chattanooga, TN 37403-1306
Phone (423) 847-4100

Other identifiers 2

IdentifierTypeStateIssuer
0445008MedicaidTN
7440184MedicaidTN

Other names 2

  • Siskin Subacute West Doing business as
  • St Barnabas at Siskin Hospital, Siskin West Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151005003309 TN Part A Provider - Skilled Nursing Facility 5193708527 Practice locations: Chattanooga, TN

Skilled nursing facility certification: CCN 445008

Legal name
SISKIN HOSPITAL FOR PHYSICAL REHABILITATION
Doing business as
SISKIN SUBACUTE WEST, ST. BARNABAS AT SISKIN HOSPITAL, SISKIN WEST
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Oct 29, 2023
Beds
108
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 21, 1984 in TN
Enrollment address
1 Siskin PLZ
Chattanooga, TN 37403-1306
Nursing home name
SISKIN SUBACUTE WEST

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Siskin Subacute WestCCN 445008 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10834.1 residents per day on average
Penalties (3 years)
1Fines totaling $93,919

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Siskin Hospital for Physical Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

950 Siskin Dr
Chattanooga, TN 37403
Phone (423) 847-1400

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Trudy a Harper Individual Corporate OfficerTreasurer Oct 1, 2017 16.67%
Corporate Director Jul 1, 2015 5.57%
Michael Fillauer Individual Corporate Director Jul 1, 2017 5.55%
Michael G Mathis Individual Corporate OfficerVice Chairman Jul 1, 2019 16.67%
Corporate Director Jul 1, 2015 5.57%
Ruchir Shah Individual Corporate Director Jul 1, 2022 5.55%
Charles L Arant Individual Corporate Director Jul 1, 2016 5.55%
Richard P McKenney Individual Corporate Director Jul 1, 2015 5.55%
Jones Krogh Individual Corporate OfficerChairman Jul 1, 2017 16.67%
Corporate Director Jul 1, 2016 5.57%
Rose Decosimo Individual Corporate Director Nov 1, 2016 5.55%
Siskin Hospital for Physical Rehabilitation Organization, Chattanooga, TN Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2014 100%
Elizabeth McCright Individual Corporate OfficerSecretary Jul 1, 2021 16.67%
Corporate Director Jul 1, 2017 5.55%
William Wilder Individual Corporate Director Jul 1, 2019 5.55%
Carol Arnhart Individual Corporate Officer Jul 1, 2010 16.65%
W-2 Managing EmployeeVice President, Finance and Cfo Jul 1, 2014 100%
Marcus K Shaw Individual Corporate Director Jul 1, 2018 5.55%
Jennifer L Weaver Individual Corporate Director Jul 1, 2016 5.55%
Monique P Berke Individual Corporate Director Jul 1, 2014 5.55%
David I Binder Individual Corporate Director Jul 1, 2020 5.55%
Matthew a Gibson Individual Corporate Officer Jan 29, 2020 16.65%
Corporate Director Jan 29, 2020 5.57%
W-2 Managing Employee Jan 29, 2020 100%
Valerie C Rutledge Individual Corporate Director Jul 1, 2014 5.55%
Maria Laurel Graefe Individual Corporate Director Jul 1, 2022 5.55%
William E Godbold Individual Corporate Director Jul 1, 2022 5.55%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1326135898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SISKIN PLZ",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031306",
            "telephone_number": "423-847-4100",
            "fax_number": "423-634-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SISKIN PLZ",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031306",
            "telephone_number": "423-847-4100",
            "fax_number": "423-634-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISKIN HOSPITAL FOR PHYSICAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "ARNHART",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-634-1587"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445008",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440184",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siskin Subacute West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Barnabas at Siskin Hospital, Siskin West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Barnabas at Siskin Hospital, Siskin West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.