NPIMap

Organization Active NPI

Select Specialty Hospital - Greensboro Inc

  • Long Term Care Hospital
  • Greensboro, NC
National Provider Identifier
1730346784
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
SELECT SPECIALTY HOSPITAL - GREENSBORO INC
Practice address
1200 N Elm St
5TH Floor
Greensboro, NC 27401-1004
Phone
(336) 832-7000
NPI assigned
May 19, 2008
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
John Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

1200 N Elm St
5TH Floor
Greensboro, NC 27401-1004

Mailing address

4714 Gettysburg Rd
Legal Dept
Mechanicsburg, PA 17055
Phone (717) 972-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090715000010 NC Part A Provider - Hospital 7810049335 Practice locations: Greensboro, NC
O20101223000116 NC Part B Supplier - Clinic/Group Practice 7810049335 Receives reassigned benefits from 19 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greensboro, NC

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1730346784. Details of each certification follow.

Hospital certification: CCN 342020

Legal name
SELECT SPECIALTY HOSPITAL - GREENSBORO INC
Doing business as
SELECT SPECIALTY HOSPITAL GREENSBORO AT THE MOSES H CONE MEMORIAL HOSP
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
May 1, 2010
Last certification
Nov 17, 2016
Beds
30
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Jan 5, 2004 in DE
Enrollment address
1200 North Elm Street
5TH Floor
Greensboro, NC 27401-1004
Main/Primary Hospital Location
Hospital subgroups
General, Long-term

Hospital certification: CCN 340185

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
SELECT SPECIALTY HOSPITAL-GREENSBORO
Certification status
Terminated Other: provider status change, Apr 30, 2010
Provider type (POS)
Hospital – Short-term
Participating since
Oct 1, 2009
Last certification
Oct 1, 2009
Beds
30
Ownership / control type
Private (for profit)
Facility address
1200 North Elm Street, 5TH Floor
Greensboro, NC 27401

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital-GreensboroCCN 342020 · All quality measures
Ownership
For profit
Certified
May 1, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Beds
30

National Provider Directory

National Provider Directory

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Brad Jordan Individual Corporate OfficerCeo Jun 1, 2023
W-2 Managing EmployeeCeo Jun 1, 2023
Operational/Managerial ControlCeo Jun 1, 2023
Select Medical Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2009
Thomas Mullin Individual Corporate Officer Sep 4, 2025
John Saich Individual Corporate Officer Sep 4, 2025
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 4, 2025
Select Specialty Hospitals Inc Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2009
Michael Malatesta Individual Corporate Officer Sep 4, 2025
Robert Kido Individual Corporate Officer Sep 4, 2025
John Duggan Individual Corporate Officer Jul 1, 2009
Corporate Director Sep 4, 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 129

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

View all 129

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

Affiliated clinicians 3

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1730346784",
    "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": "17055",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "address_2": "5TH FLOOR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - GREENSBORO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.