Select Specialty Hospital - Little Rock/BMC Inc

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

AR3865 Issued in AR

Legal business name

SELECT SPECIALTY HOSPITAL - LITTLE ROCK/BMC INC

Practice address

9601 Interstate 630
Exit 7, 10TH Floor
Little Rock, AR 72205-7202

Phone

(501) 202-1095

Fax

(501) 202-1093

NPI assigned

Jul 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michael E. Tarvin

Title

Vice President

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 040139

Legal name

SEMPERCARE HOSPITAL OF LITTLE

Certification status

Terminated Other: provider status change, Jun 30, 2001

Provider type (POS)

Hospital – Short-term

Participating since

Dec 13, 2000

Last certification

Dec 13, 2000

Beds

37

Ownership / control type

Private (for profit)

Facility address

9601 Interstate 630 Exit 7
Little Rock, AR 72205

Hospital certification: CCN 042005

Legal name

SELECT SPECIALTY HOSPITAL-LITTLE ROCK/BMC INC

Certification status

Terminated Voluntary: other reason for withdrawal, Dec 7, 2007

Provider type (POS)

Hospital – Long-term

Participating since

Dec 13, 2000

Last certification

May 28, 2003

Beds

37

Ownership / control type

Private (for profit)

Facility address

9601 Interstate 630
Little Rock, AR 72205

Locations

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1417957200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT.",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 INTERSTATE 630",
            "address_2": "EXIT 7, 10TH FLOOR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057202",
            "telephone_number": "501-202-1095",
            "fax_number": "501-202-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - LITTLE ROCK/BMC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "AR",
            "license": "AR3865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AR",
            "identifier": "10139",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Elfrida Seidl, LMSW
• Caleb Andrew Seiter, CRNA
• Mary E Selanders
• Micheal Lee Selby, M.D.
• Select Specialty Hospital - Little Rock Inc
• Self Reliance LLC
• Elizabeth Sellars, M.D.
• Cristy Sellers, RD
• Dominique Sellers
• Matthew Allen Sellers, MD

• Long Term Care Hospital in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Long Term Care Hospital in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.