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Organization Active NPI

Select Specialty Hospital - Kansas City Inc

  • Long Term Care Hospital
  • Kansas City, KS
National Provider Identifier
1841290764
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
HO46011 Issued in KS
Legal business name
SELECT SPECIALTY HOSPITAL - KANSAS CITY INC
Practice address
1731 North 90TH Street
Kansas City, KS 66112-1689
Phone
(913) 732-5900
Fax
(913) 541-5830
NPI assigned
Jul 22, 2005
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
Mr. John Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X HO46011 KS Primary

Addresses

Primary practice location

1731 North 90TH Street
Kansas City, KS 66112-1689

Mailing address

4714 Gettysburg Rd
Legal Dept.
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other identifiers 2

IdentifierTypeStateIssuer
100259020AMedicaidKS
90704019OtherKSBCBS KANSAS CITY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030514000058 KS Part A Provider - Hospital 2860302411 Practice locations: Kansas City, KS

Hospital certification: CCN 172005

Legal name
SELECT SPECIALTY HOSPITAL - KANSAS CITY INC
Doing business as
SELECT SPECIALTY HOSPITAL - KANSAS CITY
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Apr 30, 1996
Last certification
Feb 21, 2018
Beds
40
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Dec 13, 1995 in MO
Enrollment address
1731 N 90TH St
Kansas City, KS 66112-1689
Main/Primary Hospital Location
Hospital subgroups
Long-term

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital of KS CityCCN 172005
Ownership
For profit
Certified
Apr 30, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Beds
40

National Provider Directory

National Provider Directory
Tax ID family
Select Specialty HP KC Inc2 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.

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
Select Medical Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2001 100%
Operational/Managerial Control Jul 1, 2011 100%
Thomas Mullin Individual Corporate Officer Sep 5, 2025
Intensiva Healthcare Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest Dec 18, 1998 100%
Brent Hanson Individual Corporate OfficerCeo Nov 1, 2023
W-2 Managing EmployeeCeo Nov 1, 2023
Operational/Managerial ControlCeo Nov 1, 2023
John Saich Individual Corporate Officer Sep 5, 2025
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 5, 2025
Michael Malatesta Individual Corporate Officer Sep 5, 2025
Robert Kido Individual Corporate Officer Sep 5, 2025
John Duggan Individual Corporate Officer Sep 5, 2025
Corporate Director Sep 5, 2025

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 6

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

Affiliated clinicians 9

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": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1841290764",
    "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": "1731 NORTH 90TH STREET",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121689",
            "telephone_number": "913-732-5900",
            "fax_number": "913-541-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - KANSAS CITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "KS",
            "license": "HO46011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100259020A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "90704019",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.