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Select Specialty Hospital - Miami Lakes Inc.

Organization Active NPI Long Term Care Hospital · Miami Lakes, FL

NPI 1730643131 · NPPES record last updated Sep 10, 2025

Key facts

NPI
1730643131
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Hospital 282E00000X
Legal business name
SELECT SPECIALTY HOSPITAL - MIAMI LAKES INC.
Practice address
14001 NW 82ND Ave
Miami Lakes, FL 33016-1561
Phone
(786) 609-9200
NPI assigned
Jan 30, 2019
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Other NPIs on the same Medicare enrollment 1

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

Member of 1

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

Facilities with the same owner 129

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

View all 129

Practitioners 1

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

Affiliated clinicians 38

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

View all 38

Medicare Care Compare: Long-term care hospital

Listed as
Select Specialty Hospital-Miami Lakes CCN 102031
Ownership
For profit
Certified
Apr 1, 2016
Medicare certification status
Active (Provider of Services file)
Beds
60

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in FL

Hospital certification: CCN 102031

Legal name
SELECT SPECIALTY HOSPITAL - MIAMI LAKES, INC.
Doing business as
SELECT SPECIALTY HOSPITAL - MIAMI LAKES
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Apr 1, 2016
Last certification
Sep 2, 2020
Beds
60
Ownership / control type
Private (for profit)
Organization structure
Corporation · Proprietary
Incorporated
Jan 24, 2019 in DE
Enrollment address
14001 NW 82ND Ave
Miami Lakes, FL 33016-1561
Main/Primary Hospital Location
Hospital subgroups
Long-term

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
Monica Madrigal
Individual 		Corporate Officer
Ceo		 Mar 7, 2020
W-2 Managing Employee
Ceo		 Mar 7, 2022
Operational/Managerial Control
Ceo		 Mar 7, 2022
Select Medical Corporation
Organization · Mechanicsburg, PA
Corporation, For-profit 		5% Or Greater Indirect Ownership Interest Apr 3, 2019 100%
Operational/Managerial Control Apr 3, 2019 100%
Thomas Mullin
Individual 		Corporate Officer Sep 3, 2025
John Saich
Individual 		Corporate Officer Sep 3, 2025
Robert Breighner
Individual 		W-2 Managing Employee
Comliance Officer		 Sep 3, 2025
Select Specialty Hospitals Inc
Organization · Mechanicsburg, PA
Corporation, For-profit 		5% Or Greater Direct Ownership Interest Apr 3, 2019 100%
Michael Malatesta
Individual 		Corporate Officer Sep 3, 2025
Robert Kido
Individual 		Corporate Officer Sep 3, 2025
John Duggan
Individual 		Corporate Officer Apr 3, 2019
Corporate Director Sep 3, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120830000782 FL Part B Supplier - Clinic/Group Practice 0749437481 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Miami Lakes, FL; Miami, FL; Hialeah, FL
O20190522000933 FL Part a Provider - Hospital 0749523389 Practice locations: Miami Lakes, FL

National Provider Directory

Locations

1400 NW 12th Ave
#U
Miami, FL 33136
Phone (305) 547-2255

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X Yes

Addresses

Primary practice location

14001 NW 82ND Ave
Miami Lakes, FL 33016-1561

Mailing address

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

Other providers in Miami Lakes, FL

All providers in Miami Lakes, FL · Long Term Care Hospital in Florida

Sources for this page

Verify at the official NPI Registry.