NPIMap

Organization Active NPI

SMR Southern Kentucky, LLC

  • Rehabilitation Hospital
  • Bowling Green, KY
National Provider Identifier
1588524813
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
SMR SOUTHERN KENTUCKY, LLC
Practice address
1300 Campbell LN
Bowling Green, KY 42104-4162
Phone
(717) 972-1100
NPI assigned
Nov 18, 2025
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
John Duggan
Title
VP
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

1300 Campbell LN
Bowling Green, KY 42104-4162

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251226001561 KY Part A Provider - Hospital 8325534571 Practice locations: Bowling Green, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588524813. Details of each certification follow.

Hospital certification: CCN 183029

Legal name
SMR SOUTHERN KENTUCKY LLC
Doing business as
SOUTHERN KENTUCKY REHABILITATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Sep 9, 1992
Last certification
Jun 13, 2002
Beds
60
Ownership / control type
Private (for profit)
Most recent change of ownership
Dec 17, 2025 (2 total)
Organization structure
LLCProprietary
Enrollment address
1300 Campbell LN
Bowling Green, KY 42104-4162
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
SMR Southern Kentucky, LLC Dba Southern Kentucky RCCN 183029 · All quality measures
Ownership
For profit
Certified
Sep 9, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
SMR Southern Kentucky LLC2 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.

Member of 1

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

Locations

1300 Campbell Ln
Bowling Green, KY 42104
Phone (270) 287-8134

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Hospital Holdings Corporation Organization, Mechanicsburg, PA Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 17, 2025 51%
Select Medical Corporation Organization, Mechanicsburg, PA Chain home office 5% Or Greater Indirect Ownership Interest Dec 17, 2025 100%
Thomas Mullin Individual Corporate Officer Dec 17, 2025
John Saich Individual Corporate Officer Dec 15, 2025
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Dec 17, 2025
Select Specialty Hospitals Inc Organization, Mechanicsburg, PA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 17, 2025 100%
Michael Malatesta Individual Corporate Officer Dec 17, 2025
Robert Kido Individual Corporate Officer Dec 17, 2025
Vibra Healthcare, LLC Organization, Mechanicsburg, PA LLC 5% Or Greater Direct Ownership Interest Dec 17, 2025 49%
John Duggan Individual Corporate OfficerVP Dec 17, 2025
Corporate DirectorVP Dec 17, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 136

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 136

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1588524813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CAMPBELL LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044162",
            "telephone_number": "717-972-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMR SOUTHERN KENTUCKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.