NPIMap

Organization Active NPI

Special Care Hospital, LLC

  • Long Term Care Hospital
  • Grand Rapids, MI
National Provider Identifier
1972032209
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
SPECIAL CARE HOSPITAL, LLC
Practice address
1840 Wealthy St SE FL 5
Grand Rapids, MI 49506-2921
Phone
(616) 774-3800
NPI assigned
Jun 9, 2017
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
VP
Phone
(717) 972-1100

Specialties & licenses 1

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

Addresses

Primary practice location

1840 Wealthy St SE FL 5
Grand Rapids, MI 49506-2921

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170724001521 MI Part A Provider - Hospital 1052681186 Practice locations: Grand Rapids, MI

Hospital certification: CCN 232029

Legal name
SPECIAL CARE HOSPITAL, LLC
Doing business as
SELECT SPECIALTY HOSPITAL - COREWELL HEALTH GRAND RAPIDS
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jan 1, 2001
Last certification
Jan 1, 2001
Beds
146
Ownership / control type
Private (not for profit)
Most recent change of ownership
Aug 1, 2017 (1 total)
Organization structure
LLCProprietary
Incorporated
Mar 10, 2017 in DE
Enrollment address
1840 Wealthy St SE
FL 5
Grand Rapids, MI 49506-2921
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital - Corewell Health GRCCN 232029
Ownership
Non-profit
Certified
Jan 1, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Beds
146

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1004532Special Care Hospital, LLC1840 Wealthy Street, SE, 5TH Floor, Grand Rapids, MI 49506Certificate of waiverFeb 5, 2028

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 13

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

NameRoleSinceShare
Select Lifecare Western Michigan LLC Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2017 51%
Select Medical Corporation Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2017 100%
Operational/Managerial Control Aug 1, 2017 100%
Thomas Mullin Individual Corporate Officer Sep 5, 2025
Intensiva Healthcare Corporation Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2017 51%
Matthew Campbell Individual Corporate OfficerCeo Jun 29, 2020
W-2 Managing EmployeeCeo Jun 29, 2020
Operational/Managerial ControlCeo Jun 29, 2020
John Saich Individual Corporate Officer Sep 5, 2025
Corewell Health Organization, Grand Rapids, MI Corporation 5% Or Greater Direct Ownership Interest Apr 30, 2018 49%
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
Great Lakes Specialty Hospital - Oak LLC Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2017 51%
Select Specialty Hospital - Western Michigan, Inc. Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2017 51%
John Duggan Individual Corporate Officer Sep 5, 2025
Corporate Director Sep 5, 2025

Facilities with the same owner 195

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

View all 195

Practitioners & affiliated clinicians

Practitioners 5

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

Affiliated clinicians 2

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": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1972032209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 WEALTHY ST SE FL 5",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062921",
            "telephone_number": "616-774-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CARE HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "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": "VP",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.