Select Specialty Hospital - Knoxville Inc

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

00000000164 Issued in TN

Legal business name

SELECT SPECIALTY HOSPITAL - KNOXVILLE INC

Practice address

1901 W Clinch Ave
4TH FL N
Knoxville, TN 37916-2307

Phone

(865) 541-2615

Fax

(865) 541-2378

NPI assigned

Jul 22, 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) 972-1100

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 440215

Legal name

SELECT SPECIALTY HOSPITAL-KNOXVILLE

Certification status

Terminated Other: provider status change, Jul 31, 1998

Provider type (POS)

Hospital – Short-term

Participating since

Feb 5, 1998

Last certification

Feb 5, 1998

Beds

35

Ownership / control type

Private (for profit)

Most recent change of ownership

Aug 1, 1998 (2 total)

Facility address

1901 Clinch Ave/Fourth Floor N
Knoxville, TN 37916

Hospital certification: CCN 442012

Legal name

SELECT SPECIALTY HOSPITAL-KNOXVILLE

Certification status

Terminated Voluntary: merger or closure, Jan 1, 2018

Provider type (POS)

Hospital – Long-term

Participating since

Aug 1, 1998

Last certification

Jun 2, 2016

Beds

35

Ownership / control type

Private (for profit)

Facility address

1901 Clinch Ave Forth Floor N
Knoxville, TN 37916

Member of 1

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

• Select Specialty Hospitals Inc

  dba Select Specialty Hospital - Birmingham

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

  Member Of

  NPD member

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1902806722",
    "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": "1901 W CLINCH AVE",
            "address_2": "4TH FL N",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162307",
            "telephone_number": "865-541-2615",
            "fax_number": "865-541-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - KNOXVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2015-04-15",
        "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": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "TN",
            "license": "00000000149",
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "TN",
            "license": "00000000164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "3103372",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Seiferth, FNP
• Elijah Seiple
• Selah Nashville, LLC (Pasadena Villa Outpatient Knoxville)
• Caleb Thomas Selby, PHARMD
• Select Physical Therapy Holdings, Inc.
• Self Health and Wellness Center, LLC
• Ashley Nichole Self, NP
• John Michael Self Jr., D.C.
• Kari Michelle Self, NP
• Tiffany Self

• Long Term Care Hospital in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Long Term Care Hospital in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.