Select Specialty Hospital - Indianapolis Inc

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

006578 Issued in IN

Legal business name

SELECT SPECIALTY HOSPITAL - INDIANAPOLIS INC

Practice address

898 E Main St
Greenwood, IN 46143-1407

Phone

(317) 925-8066

Fax

(317) 925-8861

NPI assigned

Jul 21, 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) 972-1139

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 150140

Legal name

THC - INDIANAPOLIS

Certification status

Terminated Other: provider status change, Jun 1, 1994

Provider type (POS)

Hospital – Short-term

Participating since

Nov 23, 1993

Last certification

Oct 25, 1994

Beds

30

Ownership / control type

Private (for profit)

Facility address

898 E Main St
Greenwood, IN 46143

Hospital certification: CCN 152010

Legal name

SELECT SPECIALTY HOSPITAL-INDIANAPOLIS

Certification status

Terminated Voluntary: merger or closure, Mar 18, 2009

Provider type (POS)

Hospital – Long-term

Participating since

Dec 1, 1994

Last certification

Feb 3, 2005

Beds

51

Ownership / control type

Private (for profit)

Facility address

898 E Main St
Greenwood, IN 46143

Member of 1

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

• Select Specialty Hospitals Inc

  • Long Term Care Hospital
  • Birmingham, AL
  • NPI 1487652616

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1720087620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 OLD GETTYSBURG RD",
            "address_2": "LEGAL DEPT.",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1139",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 E MAIN ST",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431407",
            "telephone_number": "317-925-8066",
            "fax_number": "317-925-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - INDIANAPOLIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-03-11",
        "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": "717-972-1139",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "IN",
            "license": "006578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IN",
            "identifier": "000000097637",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Becca Sego
• Cheyenne Sego
• Daniel Sego, OTR
• Mandelyn Sego, RBT
• Jacob Michael Seiler, DPT
• Senior Helpers
• Senior Prime Homecare LLC
• Serenity Counseling Coaching and Consulting LLC
• Samantha J Seright, FNP
• Laura Elizabeth Sertich, NP

• Long Term Care Hospital in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Long Term Care Hospital in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.