Select Specialty Hospital - Charleston Inc

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

160 Issued in WV

Legal business name

SELECT SPECIALTY HOSPITAL - CHARLESTON INC

Practice address

3200 Maccrokle Ave
SE, 3N and 3 E
Charleston, WV 25304-1614

Phone

(304) 388-6670

Fax

(304) 388-6675

NPI assigned

Jul 14, 2005

Last updated

Sep 10, 2025By the provider in NPPES

Organization subpart

No

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

Addresses

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912905720. Details of each certification follow.

• CCN 512002 Hospital · Active · Details

Hospital certification: CCN 512002

Legal name

SELECT SPECIALTY HOSPITAL - CHARLESTON INC

Doing business as

SELECT SPECIALTY HOSPITAL CHARLESTON

Certification status

Active

Provider type (POS)

Hospital – Long-term

Participating since

Sep 1, 2002

Last certification

Jul 3, 2009

Beds

32

Ownership / control type

Other

Organization structure

CorporationProprietary

Incorporated

Jun 29, 2000 in DE

Enrollment address

3200 Maccrokel Ave
SE, 3Nand 3E
Charleston,, WV 25304
Main/Primary Hospital Location

Hospital subgroups

Long-term

Listed as

Select Specialty Hospital - CharlestonCCN 512002 · All quality measures

Ownership

Non-profit

Certified

Sep 1, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Beds

32

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

Locations

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.

Owners & managing parties with NPI records 1

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

• Select Specialty Hospitals Inc

  dba Select Specialty Hospital - Birmingham

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

  5% Or Greater Direct Ownership Interest

  CMS ownership

Facilities with the same owner 129

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

• Acuity Specialty Hospital - Ohio Valley, LP

  dba Acuity Specialty Hospital - Ohio Valley at Wheeling

  • Long Term Care Hospital
  • Wheeling, WV
  • NPI 1285862136

  Select Medical Corporation, Select Specialty Hospitals Inc

  CMS ownership
• Acuity Specialty Hospital - Ohio Valley, LP

  dba Acuity Specialty Hospital Ohio Valley at Weirton

  • Long Term Care Hospital
  • Weirton, WV
  • NPI 1588074868

  Select Medical Corporation, Select Specialty Hospitals Inc

  CMS ownership
• Ltach Morgantown, LLC

  dba Acuity Specialty Hospital of Morgantown

  • Long Term Care Hospital
  • Morgantown, WV
  • NPI 1669023263

  Select Medical Corporation, Select Specialty Hospitals Inc

  CMS ownership
• Acuity Hospital of New Jersey, LLC

  dba Select Specialty Hospital - Atlantic City

  • Long Term Care Hospital
  • Atlantic City, NJ
  • NPI 1568762961

  Select Medical Corporation, Select Specialty Hospitals Inc

  CMS ownership
• Acuity Specialty Hospital LLC

  dba Acuity Specialty Hospital of Southern New Jersey

  • Long Term Care Hospital
  • Willingboro, NJ
  • NPI 1578543468

  Select Medical Corporation, Select Specialty Hospitals Inc

  CMS ownership
• Archer Rehabilitation LLC

  • Rehabilitation Hospital
  • Gainesville, FL
  • NPI 1790264018

  Select Medical Corporation, Select Specialty Hospitals Inc

  CMS ownership
• BHSM Rehabilitation, LLC

  • Rehabilitation Hospital
  • Phoenix, AZ
  • NPI 1851921571

  Select Medical Corporation, Select Specialty Hospitals Inc

  CMS ownership
• Bir JV LLP

  • Rehabilitation Hospital
  • Arlington, TX
  • NPI 1053867093

  Select Medical Corporation, Select Specialty Hospitals Inc

  CMS ownership
• Bir JV LLP

  • Rehabilitation Hospital
  • Frisco, TX
  • NPI 1285930891

  Select Medical Corporation, Select Specialty Hospitals Inc

  CMS ownership
• Bir JV LLP

  • Rehabilitation Hospital
  • Arlington, TX
  • NPI 1346747565

  Select Medical Corporation, Select Specialty Hospitals Inc

  CMS ownership
• Bir JV LLP

  dba Baylor Institute for Rehabilitation

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901

  Select Medical Corporation, Select Specialty Hospitals Inc

  CMS ownership
• Bir JV LLP

  dba Baylor Scott & White Institute for Rehabilitation - Lakeway

  • Rehabilitation Hospital
  • Lakeway, TX
  • NPI 1851889463

  Select Medical Corporation, Select Specialty Hospitals Inc

  CMS ownership

Practitioners 5

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.

• Amal Fustok Sakkal, MD

  • Internal Medicine Physician
  • Charleston, WV
  • NPI 1487619813
  NPD (past)
• Leonard White, M.D.

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1003072810
  NPD (past)
• Mohammad Khan, DO

  • Internal Medicine Physician
  • Hickory, NC
  • NPI 1659891109
  NPD (past)
• Dibbendu Mahanayak, M.D.

  • Hospitalist Physician
  • Melbourne, FL
  • NPI 1194950071
  NPD (past)
• Roland Kum Ngum, M.D

  • Nephrology Physician
  • Newark, NJ
  • NPI 1730651878
  NPD (past)

Affiliated clinicians 10

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

• Agura Afiari

  • Nephrology Physician
  • South Charleston, WV
  • NPI 1063903730

  Long-term care hospital

  Care Compare affiliation
• Sembua Samuel Danieli, MD

  • Internal Medicine Physician
  • Charleston, WV
  • NPI 1497789150

  Long-term care hospital

  Care Compare affiliation
• Hatem Mahmoud Hossino, M.D.

  • Surgery Physician
  • Charleston, WV
  • NPI 1497765598

  Long-term care hospital

  Care Compare affiliation
• Mallinath Kayi, MD

  • Pulmonary Disease Physician
  • Charleston, WV
  • NPI 1982756094

  Long-term care hospital

  Care Compare affiliation
• Roselyne Knopf, M.D.

  • Internal Medicine Physician
  • Ronceverte, WV
  • NPI 1033406715

  Long-term care hospital

  Care Compare affiliation
• Luke Weldon Martin, MD

  • Surgery Physician
  • Charleston, WV
  • NPI 1104023795

  Long-term care hospital

  Care Compare affiliation
• Amal Fustok Sakkal, MD

  • Internal Medicine Physician
  • Charleston, WV
  • NPI 1487619813

  Long-term care hospital

  Care Compare affiliation
• Leonard White, M.D.

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1003072810

  Long-term care hospital

  Care Compare affiliation
• Roland Kum Ngum, M.D

  • Nephrology Physician
  • Newark, NJ
  • NPI 1730651878

  Long-term care hospital

  Care Compare affiliation
• Zoaib Safdar Rasool, D.O

  • Hospitalist Physician
  • High Point, NC
  • NPI 1497276646

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1912905720",
    "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": "3200 MACCROKLE AVE",
            "address_2": "SE, 3N AND 3 E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041614",
            "telephone_number": "304-388-6670",
            "fax_number": "304-388-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - CHARLESTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "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": "WV",
            "license": "160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Seidler
• Samantha Seitz, FNP-BC
• Samantha Sekscinski
• Mary Jo Selbe, LPC
• Emily Marie Selby-Nelson, PSYD
• Ashley Self
• Andrea S Sellards
• Julia M Sellers, PA-C
• Kelli Sellers
• Kathryn Selly

• Long Term Care Hospital in Charleston, WV
• Providers in Charleston, WV by specialty
• Long Term Care Hospital in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.