SELECT SPECIALTY HOSPITAL - EVANSVILLE LLC
NPI 1750380739
Long Term Care Hospital in Evansville, IN
NPI Status: Active since July 20, 2005
Contact Information
400 SE 4TH STREET
EVANSVILLE, IN
ZIP 47713
Phone: (812) 450-5254
Fax: (812) 450-5272
- Organization
- Long Term Care Hospital
- Accepts Insurance
- CLIA Number: 15D0915125
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 10-29-2025
About SELECT SPECIALTY HOSPITAL - EVANSVILLE LLC
This page provides the complete NPI Profile along with additional information for Select Specialty Hospital - Evansville Llc, a provider established in Evansville, Indiana operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1750380739 assigned on July 2005. The practitioner's primary taxonomy code is 282E00000X with license number 0094433 (IN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Michael E. Tarvin (Vice President)
- NPI
- 1750380739
- Provider Name
- SELECT SPECIALTY HOSPITAL - EVANSVILLE LLC
- Entity Type
- Organization
- Location Address
- 400 SE 4TH STREET EVANSVILLE, IN 47713
- Location Phone
- (812) 450-5254
- Location Fax
- (812) 450-5272
- Mailing Address
- 4714 GETTYSBURG RD LEGAL DEPT. MECHANICSBURG, PA 17055
- Mailing Phone
- (717) 972-1100
- Mailing Fax
- (812) 450-5272
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-20-2005
- Last Update Date
- 09-02-2010
- Code Navigator
According to the Long-Term Care Hospital Compare program data, Select Specialty Hospital - Evansville Llc is a for profit Medicare certified facility with approximately 60 beds. The initial Medicare certification or recertification date of this facility was on 01-01-1997
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Long Term Care Hospital
- Taxonomy Code
- 282E00000X
- Type
- Hospitals
- License No.
- 0094433
- License State
- IN
- Taxonomy Description
- Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000000098306 | OTHER (01) | IN | BCBS IN |
| IN-200107080A | MEDICAID (05) | IN | |
| 152014 | MEDICARE OSCAR/CERTIFICATION (06) | IN |
Long-Term Care Hospital Compare Information
The Long-Term Care Hospital Compare program allows patients and caregivers make informed decisions about healthcare based on quality of care, cost, volume of services, and other data at certified Medicare facilities.
| Certification Number CMS Certification Number The CMS certification number (CCN) is used to identify the hospital listed. | 152014 |
| Ownership Type Ownership Type Indicates the hospital's ownership type: For Profit, Non-profit, Government | For profit |
| Certification Date Certification Date The initial Medicare certification or recertification date of the hospital. | 01-01-1997 |
| Number of Beds Total Number of Beds The total number of beds in the hospital. | 60 |
| Catheter-associated urinary tract infections (CAUTI) | No Different than the National Benchmark |
| Central line-associated bloodstream infections (CLABSI) | No Different than the National Benchmark |
| Percentage of LTCH patients who experience one or more falls with major injury during their LTCH stay | 0.0 |
| Clostridium difficile Infection (CDI) | Better than the National Benchmark |
| Influenza Vaccination Coverage Among Healthcare Personnel | 54.5 |
| Rate of potentially preventable hospital readmissions 30 days after discharge from an LTCH | No Different than the National Rate |
| Rate of successful return to home and community from an LTCH | Worse than the National Rate |
| Medicare Spending Per Beneficiary (MSPB) in LTCHs | $257 |
| Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified | 83.6 |
| Percentage of patients with pressure ulcers/injuries that are new or worsened | 1.4 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D0915125
- Facility Type
- Hospital
- Certificate Effective Date
- October 30, 2023
- Certificate Expiration Date
- October 29, 2025
- Laboratory Director
- SUGATA SENSARMA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Select Specialty Hospital - Evansville Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for SELECT SPECIALTY HOSPITAL - EVANSVILLE LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 3 | 8 | 0 | 7 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 8 | 0 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 8 + 0 + 7 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1750380739 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750380739, enumerated in the NPI registry as an "organization" on July 20, 2005
The provider is located at 400 Se 4th Street Evansville, In 47713 and the phone number is (812) 450-5254
This medical organization specializes in Long Term Care Hospital with taxonomy code 282E00000X
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 15D0915125 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on July 20, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.