LTCHs That Successfully Met QRP Reporting Requirements …

LTCHs That Successfully Met QRP Reporting Requirements For APU FY 2019

CMS populates the provider demographic information appearing on reports from the CMS Survey Processing Environment (ASPEN) system, which is updated by CMS Regional Offices or State ASPEN Coordinators. If the information you see displayed is inaccurate or has changed, please review the "How to Update LTCH Demographic Data" tip sheet.

CCN

012006 012007 012008 012009 012010 012011 012012 012014 042004 042006 042008 042009 042010 042011 042012 042013 032001 032004 032006 052031 052032 052033 052034 052035 052036 052037 052038 052039 052043 052044 052045 052046 052047 052049 052050 052052 052054 062009 062011 062012 062013 062014 062015 062017 072003 072004 092002 082000 102001 102003 102009

LTCH Name

INFIRMARY LTAC HOSPITAL NOLAND HOSPITAL MONTGOMERY II, LLC SELECT SPECIALTY HOSPITAL - BIRMINGHAM NOLAND HOSPITAL BIRMINGHAM II, LLC NOLAND HOSPITAL DOTHAN II, LLC NOLAND HOSPITAL ANNISTON II, LLC NOLAND HOSPITAL TUSCALOOSA II, LLC NORTH ALABAMA SPECIALTY HOSPITAL CHRISTUS DUBUIS HOSPITAL OF HOT SPRINGS SELECT SPECIALITY HOSPITAL-FORT SMITH INC CHRISTUS DUBUIS HOSPITAL OF FORT SMITH REGENCY HOSPITAL OF NORTHWEST ARKANSAS CORNERSTONE HOSPITAL LITTLE ROCK ADVANCED CARE HOSPITAL WHITE COUNTY BAPTIST HEALTH EXTENDED CARE HOSPITAL-LR INC ARKANSAS CONTINUED CARE HOSPITAL OF JONESBORO SELECT SPECIALTY HOSPITAL PHOENIX CHG HOSPITAL TUCSON, LLC PROMISE HOSPITAL OF PHOENIX, INC. BARLOW RESPIRATORY HOSPITAL KINDRED - LOS ANGELES VIBRA HOSPITAL OF SACRAMENTO KINDRED HOSPITAL - SAN FRANCISCO BAY AREA KINDRED HOSPITAL WESTMINSTER KINDRED HOSPITAL - SAN DIEGO KINDRED HOSPITAL ONTARIO KINDRED HOSPITAL -- LA MIRADA KINDRED HOSPITAL BREA KENTFIELD HOSPITAL VIBRA HOSPITAL OF SAN DIEGO KINDRED HOSPITAL BALDWIN PARK PROMISE HOSPITAL OF EAST LOS ANGELES VIBRA HOSPITAL OF NORTHERN CALIFORNIA KINDRED HOSPITAL RANCHO KINDRED HOSPITAL SOUTH BAY KINDRED HOSPITAL RIVERSIDE MONROVIA MEMORIAL HOSPITAL KINDRED HOSPITAL-DENVER CRAIG HOSPITAL COLORADO ACUTE LONG TERM HOSPITAL KINDRED HOSPITAL AURORA VIBRA HOSPITAL OF DENVER KINDRED HOSPITAL - DENVER SOUTH NORTHERN COLORADO LONG TERM ACUTE HOSP - LONG TERM GAYLORD HOSPITAL INC HOSPITAL FOR SPECIAL CARE BRIDGEPOINT HOSPITAL CAPITOL HILL SELECT SPECIALTY HOSPITAL WILMINGTON SELECT SPECIALTY HOSPITAL-MIAMI SELECT SPECIALTY HOSPITAL - ORLANDO KINDRED HOSPITAL-BAY AREA-TAMPA

Address

5 MOBILE INFIRMARY CIRCLE 1725 PINE STREET 5TH FLOOR NORTH WING 2010 BROOKWOOD MEDICAL CENTER DRIVE, 3RD FLOOR 50 MEDICAL PARK EAST DRIVE 8TH FLOOR 1108 ROSS CLARK CIRCLE, 4TH FLOOR 400 EAST 10TH STREET, 4TH FLOOR 809 UNIVERSITY BOULEVARD EAST, 4TH FLOOR 700 WEST MARKET STREET, 2ND FLOOR 300 WERNER STREET, 3RD FLOOR 1001 TOWSON AVENUE 7301 ROGERS AVENUE, # 4 609 WEST MAPLE AVENUE 2 ST VINCENT CIRCLE, 6TH FLOOR 1200 SOUTH MAIN STREET 9601 BAPTIST HEALTH DRIVE, 1OTH FLOOR 3024 RED WOLF BOULEVARD, SUITE 1 350 WEST THOMAS ROAD, 3RD FLOOR 7220 EAST ROSEWOOD STREET 433 EAST 6TH STREET 2000 STADIUM WAY 5525 W SLAUSON AVENUE 330 MONTROSE DRIVE 2800 BENEDICT DRIVE 200 HOSPITAL CIRCLE 1940 EL CAJON BLVD 550 NORTH MONTEREY 14900 E IMPERIAL HWY 875 N BREA BLVD 1125 SIR FRANCIS DRAKE BLVD 555 WASHINGTON STREET 14148 FRANCISQUITO AVENUE 16453 COLORADO AVENUE 2801 EUREKA WAY 10841 WHITE OAK AVENUE 1246 WEST 155TH STREET 2224 MEDICAL CENTER DRIVE 323 SOUTH HELIOTROPE AVENUE 1920 HIGH STREET 3425 SOUTH CLARKSON STREET 1690 N MEADE ST 700 POTOMAC ST 2ND FLOOR 8451 PEARL ST 2525 S DOWNING ST 3RD FLOOR 4401 UNION STREET GAYLORD FARM RD 2150 CORBIN AVE 700 CONSTITUTION AVENUE NE 7TH & CLAYTON STREETS 5TH FLOOR 955 NW 3RD STREET 8TH FLOOR 5579 S ORANGE AVE 4555 S MANHATTAN AVE

City

MOBILE MONTGOMERY BIRMINGHAM BIRMINGHAM DOTHAN ANNISTON TUSCALOOSA ATHENS HOT SPRINGS FORT SMITH FORT SMITH SPRINGDALE LITTLE ROCK SEARCY LITTLE ROCK JONESBORO PHOENIX TUCSON MESA LOS ANGELES LOS ANGELES FOLSOM SAN LEANDRO WESTMINSTER SAN DIEGO ONTARIO LA MIRADA BREA KENTFIELD SAN DIEGO BALDWIN PARK LOS ANGELES REDDING RANCHO CUCAMONGA GARDENA PERRIS MONROVIA DENVER ENGLEWOOD DENVER AURORA THORNTON DENVER JOHNSTOWN WALLINGFORD NEW BRITAIN WASHINGTON WILMINGTON MIAMI ORLANDO TAMPA

State

AL AL AL AL AL AL AL AL AR AR AR AR AR AR AR AR AZ AZ AZ CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CO CO CO CO CO CO CO CT CT DC DE FL FL FL

ZIP

36607 36106 35209 35235 36302 36202 35401 35611 71913 72901 72903 72764 72205 72143 72205 72401 85013 85710 85203 90026 90056 95630 94577 92683 92104 91764 90638 92821 94904 92103 91706 90033 96001 91730 90247 92571 91016 80218 80113 80204 80011 80229 80210 80534 06492 06050 20002 19805 33128 32809 33611

1 of 7

CCN

102010 102012 102013 102015 102016 102017 102018 102019 102020 102021 102022 102023 102024 102025 102026 102027 102029 102030 102032 112000 112004 112006 112007 112009 112010 112011 112012 112013 112015 112016 112017 112018 122001 162001 162003 132001 132002 142006 142008 142009 142010 142011 142013 142014 152007 152012 152013 152014 152018 152020 152024 152025 152027 152028

LTCH Name

KINDRED HOSPITAL-SOUTH FLORIDA-FT LAUDERDALE CURAHEALTH JACKSONVILLE LLC KINDRED HOSPITAL-CENTRAL TAMPA KINDRED HOSPITAL-NORTH FLORIDA SISTER EMMANUEL HOSPITAL SELECT SPECIALTY HOSPITAL - PANAMA CITY COMPLEX CARE HOSPITAL AT RIDGELAKE KINDRED HOSPITAL OCALA SELECT SPECIALTY HOSPITAL - TALLAHASSEE BAYCARE ALLIANT HOSPITAL SELECT SPECIALTY HOSPITAL GAINESVILLE INC SELECT SPECIALTY HOSPITAL-PALM BEACH SELECT SPECIALTY HOSPITAL PENSACOLA KINDRED HOSPITAL THE PALM BEACHES FLORIDA HOSPITAL AT CONNERTON LONG TERM ACUTE CARE KINDRED HOSPITAL MELBOURNE PROMISE HOSPITAL OF FORT MYERS SELECT SPECIALTY HOSPITAL DAYTONA BEACH LANDMARK HOSPITAL OF SOUTHWEST FLORIDA ROOSEVELT WARM SPRINGS LTAC HOSPITAL SELECT SPECIALTY HOSPITAL - MIDTOWN ATLANTA, LLC DEKALB MEDICAL CENTER AT DECATUR WELLSTAR WINDY HILL HOSPITAL SELECT SPECIALTY HOSPITAL - ATLANTA KINDRED HOSPITAL ROME SELECT SPECIALTY HOSPITAL - SAVANNAH, INC COLUMBUS SPECIALTY HOSPITAL, INC SELECT SPECIALTY HOSPITAL - AUGUSTA, INC SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE REGENCY HOSPITAL COMPANY OF MACON, LLC LANDMARK HOSPITAL OF ATHENS, LLC LANDMARK HOSPITAL OF SAVANNAH, LLC LEAHI HOSPITAL SELECT SPECIALTY HOSPITAL - QUAD CITIES SELECT SPECIALTY HOSPITAL - DES MOINES NORTHERN IDAHO ADVANCED CARE HOSPITAL VIBRA HOSPITAL OF BOISE THC CHICAGO INC DBA KINDRED HOSP THC CHICAGO INC DBA KINDRED HOSP CHGO THC CHICAGO INC DBA KINDRED CHICAGO RML HEALTH PROVIDERS LIMITED PARTNERSHIP PRESENCE HOLY FAMILY MEDICAL CENTER GREATER PEORIA SPECIALTY HOSPITAL VIBRA HOSPITAL OF SPRINGFIELD KINDRED HOSPITAL INDIANAPOLIS KINDRED HOSPITAL NORTHWEST INDIANA KINDRED HOSPITAL INDIANAPOLIS NORTH SELECT SPECIALTY HOSPITAL-EVANSVILLE KINDRED HOSPITAL NORTHERN INDIANA ST VINCENT SETON SPECIALTY HOSPITAL, INDIANAPOLIS REGENCY HOSPITAL OF NORTHWEST INDIANA CENTRAL INDIANA AMG SPECIALTY HOSPITAL LLC VIBRA HOSPITAL OF FORT WAYNE VIBRA HOSPITAL OF NORTHWESTERN INDIANA

Address

1516 E LAS OLAS BLVD 4901 RICHARD ST 4801 N HOWARD AVE 801 OAK ST 3663 S MIAMI AVE, 4TH FLOOR 615 N BONITA AVE 6150 EDGELAKE DR 1500 SW 1ST AVENUE, 5TH FLOOR 1554 SURGEONS DR 601 MAIN ST 2708 SW ARCHER RD 3060 MELALEUCA LANE 7000 COBBLE CREEK DR 5555 W BLUE HERON BLVD 9441 HEALTH CENTER DR 765 W NASA BLVD 3050 CHAMPION RING ROAD 301 MEMORIAL MEDICAL PARKWAY 1285 CREEKSIDE BLVD E 6135 ROOSEVELT HIGHWAY, P O BOX 280 705 JUNIPER STREET, NE 450 NORTH CANDLER STREET 2540 WINDY HILL ROAD 550 PEACHTREE STREET NE, 7TH FLOOR 320 TURNER MCCALL BOULEVARD 5353 REYNOLDS STREET 4 SOUTH 616 19TH STREEET 1537 WALTON WAY 11 UPPER RIVERDALE ROAD SW 6TH FLOOR 535 COLISEUM DRIVE 775 SUNSET DRIVE 800 E 68TH STREET 3675 KILAUEA AVENUE 1111 WEST KIMBERLY ROAD 1111 6TH AVENUE, 4TH FLOOR MAIN 600 NORTH CECIL ROAD 6651 W FRANKLIN ROAD 225 EDWARD STREET 365 E NORTH AVE 4058 W MELROSE 5601 S COUNTY LINE RD 100 NORTH RIVER ROAD 500 W ROMEO B GARRETT AVENUE 701 N WALNUT 1700 W 10TH ST 5454 HOHMAN AVE 5TH FL 8060 KNUE ROAD 400 SE 4TH ST 215 W 4TH ST STE 200 8050 TOWNSHIP LINE RD 4321 FIR ST 4TH FL 2401 W UNIVERSITY AVE 5TH FLOOR EAST TOWER 2200 RANDALLIA DRIVE 5TH FLOOR 9509 GEORGIA ST

2 of 7

City

FORT LAUDERDALE JACKSONVILLE TAMPA GREEN COVE SPRINGS MIAMI PANAMA CITY SARASOTA OCALA TALLAHASSEE DUNEDIN GAINESVILLE LAKE WORTH PENSACOLA RIVIERA BEACH LAND O LAKES MELBOURNE FORT MYERS DAYTONA BEACH NAPLES WARM SPRINGS ATLANTA DECATUR MARIETTA ATLANTA ROME SAVANNAH COLUMBUS AUGUSTA RIVERDALE MACON ATHENS SAVANNAH HONOLULU DAVENPORT DES MOINES POST FALLS BOISE SYCAMORE NORTHLAKE CHICAGO HINSDALE DES PLAINES PEORIA SPRINGFIELD INDIANAPOLIS HAMMOND INDIANAPOLIS EVANSVILLE MISHAWAKA INDIANAPOLIS EAST CHICAGO MUNCIE FORT WAYNE CROWN POINT

State

FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL GA GA GA GA GA GA GA GA GA GA GA GA GA HI IA IA ID ID IL IL IL IL IL IL IL IN IN IN IN IN IN IN IN IN IN

ZIP

33301 32207 33603 32043 33133 32401 34240 34474 32308 34698 32608 33461 32504 33418 34637 32901 33905 32117 34108 31830 30308 30030 30067 30308 30165 31405 31901 30904 30274 31217 30606 31405 96816 52806 50314 83854 83709 60178 60164 60641 60521 60016 61605 62702 46222 46320 46250 47713 46544 46260 46312 47303 46805 46307

CCN

172004 172005 172007 182001 182002 182003 182004 182005 182006 182008 182009 192004 192006 192007 192008 192009 192010 192011 192012 192013 192015 192016 192019 192022 192028 192029 192030 192031 192032 192034 192035 192036 192037 192040 192041 192043 192048 192049 192052 192055 222000 222003 222023 222043 222046 222047 222048 212002 212003 232012 232019 232020 232021 232023

LTCH Name

PROMISE HOSPITAL OF OVERLAND PARK SELECT SPECIALTY HOSPITAL OF KS CITY SELECT SPECIALTY HOSPITAL WICHITA KINDRED HOSPITAL LOUISVILLE CONTINUING CARE HOSPITAL, INC SELECT SPECIALTY HOSPITAL LEXINGTON SELECT SPECIALTY HOSPITAL-NORTHERN KENTUCKY COMMONWEALTH REGIONAL SPECIALTY HOSPITAL CONTINUECARE HOSPITAL AT BAPTIST HEALTH CORBIN CONTINUECARE HOSPITAL AT BAPTIST HEALTH PADUCAH CONTINUECARE HOSPITAL AT BAPTIST HLTH MADISONVILLE PROMISE HOSPITAL BATON ROUGE CORNERSTONE HOSPITAL OF BOSSIER CITY BRIDGEPOINT CONTINUING CARE HOSPITAL SAGE SPECIALTY CARE HOSPITAL CURAHEALTH NEW ORLEANS PROMISE HOSPITAL OF LOUISIANA, INC LIFECARE HOSPITALS OF SHREVEPORT CHRISTUS DUBUIS HOSPITAL OF ALEXANDRIA CORNERSTONE HOSPITAL SOUTHWEST LOUISIANA OCHSNER EXTENDED CARE HOSPITAL OF KENNER SPECIALTY HOSPITAL MEMORIAL SPECIALTY HOSPITAL RUSTON REGIONAL SPECIALTY HOSPITAL PROMISE HOSPITAL OF MISS LOU LAFAYETTE - A M G SPECIALTY HOSPITAL ST THERESA SPECIALTY HOSPITAL, LLC CORNERSTONE HOSPITAL WEST MONROE LOUISIANA EXTENDED CARE HOSPITAL OF LAFAYETTE ST LANDRY EXTENDED CARE HOSPITAL LOUISIANA EXTENDED CARE HOSPITAL OF NATCHITOCHES P A M SPECIALTY HOSPITAL OF HAMMOND HOUMA - AMG SPECIALTY HOSPITAL SOUTHEAST REGIONAL MEDICAL CENTER, INC ZACHARY - A M G SPECIALTY HOSPITAL RIVERSIDE HOSPITAL OF LOUISIANA INC P A M SPECIALTY HOSPITAL OF COVINGTON PROMISE HOSPITAL OF BATON ROUGE, INC SPECIALTY HOSPITAL OF WINNFIELD, INC LOUISIANA EXTENDED CARE HOSPITAL OF WEST MONROE SPAULDING HOSPITAL FOR CONTINUING MED CARE-CAMB TEWKSBURY HOSPITAL WESTERN MASSACHUSETTS HOSPITAL VIBRA HOSPITAL OF SOUTHEASTERN MASSACHUSETTS VIBRA HOSPITAL OF WESTERN MASSACHUSETTS WHITTIER REHABILITATION HOSPITAL - BRADFORD WHITTIER REHABILITATION HOSPITAL WESTERN MARYLAND CENTER DEER'S HEAD CENTER SELECT SPECIALTY HOSPITAL-FLINT VIBRA OF SOUTHEASTERN MICHIGAN MCLAREN BAY SPECIAL CARE SELECT SPECIALTY HOSPITAL - MUSKEGON SELECT SPECIALTY HOSPITAL-MACOMB COUNTY

Address

6509 WEST 103RD STREET 1731 NORTH 90TH STREET 929 NORTH ST FRANCIS, 6TH FLOOR, NORTH TOWER 1313 SAINT ANTHONY PLACE ONE SAINT JOSEPH DRIVE 310 SOUTH LIMESTONE STREET 3RD FLOOR 85 NORTH GRAND AVENUE THREE CENTER 3RD FLR CENTER 250 PARK DRIVE 5TH FLOOR ONE TRILLIUM WAY, LOWER LEVEL 2501 KENTUCKY AVENUE, 5TH FLOOR 900 HOSPITAL DRIVE, 4TH FLOOR 5130 MANCUSO LANE 4900 MEDICAL DRIVE 1101 MEDICAL CENTER BLVD 7TH FLOOR 8375 FLORIDA BLVD 3601 COLISEUM STREET 1800 IRVING PLACE 8001 YOUREE DRIVE 3330 MASONIC DR 703 CYPRESS STREET 180 WEST ESPLANADE, FIFTH FLOOR 309 JACKSON STREET, 7TH FLOOR 524 DR MICHAEL DEBAKEY DRIVE, 3RD FLOOR 1401 EZELL STREET 209 FRONT STREET 4811 AMBASSADOR CAFFERY PKWY, 4TH FLOOR 3601 LOYOLA DRIVE 6198 CYPRESS STREET 1214 COOLIDGE BLVD, 9TH FLOOR 539 E. PRUDHOMME STREET, 6TH FLOOR 501 KEYSER AVE 4TH FLOOR 42074 VETERANS AVENUE 629 DUNN STREET 719 AVENUE G 4601 MCHUGH ROAD, BLDG B 13 HEYMAN LANE 20050 CRESTWOOD BLVD 17000 MEDICAL CENTER DR 3RD FLOOR 915 1ST STREET 503 MCMILLIAN ROAD, 3RD FLOOR 1575 CAMBRIDGE STREET 365 EAST STREET 91 EAST MOUNTAIN ROAD 4499 ACUSHNET AVENUE 1400 STATE STREET 145 WARD HILL AVENUE 150 FLANDERS ROAD 1500 PENNSYLVANIA AVENUE 315 DEER'S HEAD HOSPITAL ROAD 401 S BALLENGER, 5TH FLOOR 26400 W OUTER DRIVE 3250 E MIDLAND RD, SUITE 1 1700 CLINTON STREET, 2 SOUTH AND 3 SOUTH FLOORS 215 NORTH AVE, SUITE 200

3 of 7

City

OVERLAND PARK KANSAS CITY WICHITA LOUISVILLE LEXINGTON LEXINGTON FORT THOMAS BOWLING GREEN CORBIN PADUCAH MADISONVILLE BATON ROUGE BOSSIER CITY MARRERO DENHAM SPRINGS NEW ORLEANS SHREVEPORT SHREVEPORT ALEXANDRIA SULPHUR KENNER MONROE LAKE CHARLES RUSTON VIDALIA LAFAYETTE KENNER WEST MONROE LAFAYETTE OPELOUSAS NATCHITOCHES HAMMOND HOUMA KENTWOOD ZACHARY ALEXANDRIA COVINGTON BATON ROUGE WINNFIELD WEST MONROE CAMBRIDGE TEWKSBURY WESTFIELD NEW BEDFORD SPRINGFIELD BRADFORD WESTBOROUGH HAGERSTOWN SALISBURY FLINT LINCOLN PARK BAY CITY MUSKEGON MOUNT CLEMENS

State

KS KS KS KY KY KY KY KY KY KY KY LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA MA MA MA MA MA MA MA MD MD MI MI MI MI MI

ZIP

66212 66112 67214 40204 40504 40509 41075 42101 40701 42003 42431 70809 71112 70072 70726 70115 71101 71115 71301 70663 70065 71201 70601 71270 71373 70506 70065 71291 70503 70570 71457 70403 70360 70444 70791 71306 70433 70816 71483 71291 02138 01876 01085 02745 01109 01835 01581 21742 21802 48532 48146 48706 49442 48043

CCN

232024 232026 232029 232031 232032 232033 232034 232035 232036 232037 232039 242004 242005 262010 262013 262014 262015 262016 262017 262018 262019 262020 252003 252004 252005 252006 252007 252008 252009 252013 272001 342012 342013 342014 342015 342017 342018 342019 342020 342021 352004 352005 282000 282001 282002 282003 312014 312017 312018 312019 312020 312022 312023 312024

LTCHs That Successfully Met QRP Reporting Requirements for APU FY2019

LTCH Name

Address

SELECT SPECIALTY HOSPITAL-ANN ARBOR

5301 E HURON RIVER DR, 7TH FL

SELECT SPECIALTY HOSPITAL - GRAND RAPIDS

200 SE JEFFERSON, 5TH FLOOR

SELECT SPECIALTY HOSPITAL - SPECTRUM HEALTH

1840 WEALTHY STREET SE, 5TH FLOOR

SELECT SPECIALTY HOSPITAL-WYANDOTTE, LLC

2333 BIDDLE AVENUE, 8TH FLOOR

SELECT SPECIALTY HOSPITAL-NORTHWEST DETROIT

6071 WEST OUTER DRIVE, 7TH FLOOR

SELECT SPECIALTY HOSPITAL-SAGINAW

1447 NORTH HARRISON, 7TH & 8TH FLOOR

BORGESS PIPP HOSPITAL

411 NAOMI STREET

SELECT SPECIALTY HOSPITAL- BATTLE CREEK

300 NORTH AVENUE 6TH FLOOR

HENRY FORD ALLEGIANCE CARELINK

110 N ELM AVENUE

SPARROW SPECIALTY HOSPITAL

1215 E MICHIGAN AVE, 8W SPARROW HOSPITAL TOWER

PIONEER SPECIALTY HOSPITAL

50 NORTH PERRY

HEALTHEAST BETHESDA HOSPITAL

559 CAPITOL BOULEVARD

REGENCY HOSPITAL OF MINNEAPOLIS LLC

1300 HIDDEN LAKES PARKWAY

KINDRED HOSPITAL - ST LOUIS

4930 LINDELL BOULEVARD

SELECT SPECIALTY HOSPITAL-ST LOUIS

300 FIRST CAPITOL DRIVE

SELECT SPECIALTY HOSPITAL - WESTERN MISSOURI

2316 EAST MEYER BOULEVARD, 3-WEST

LANDMARK HOSPITAL OF CAPE GIRARDEAU, LLC

3255 INDEPENDENCE

LANDMARK HOSPITAL OF JOPLIN, LLC

2040 W 32ND STREET

SELECT SPECIALTY HOSPITAL SPRINGFIELD, INC

1630 EAST PRIMROSE

KINDRED HOSPITAL NORTHLAND

500 NW 68TH STREET

MOSIAC LIFE CARE AT ST JOSEPH

5325 FARAON STREET

LANDMARK HOSPITAL OF COLUMBIA, LLC

604 OLD HIGHWAY 63 NORTH

SELECT SPECIALTY HOSPITAL - BELHAVEN

1225 NORTH STATE STREET

SPECIALITY HOSPITAL OF MERIDIAN,THE

1314 19TH AVENUE

SELECT SPECIALTY HOSPITAL-GULF COAST, INC

1520 BROAD AVENUE SUITE 300

REGENCY HOSPITAL OF MERIDIAN

1102 CONSTITUTION AVENUE, 2ND FLOOR

SELECT SPECIALTY HOSPITAL JACKSON

5903 RIDGEWOOD ROAD

PROMISE HOSPITAL OF VICKSBURG, INC

1111 NORTH FRONTAGE ROAD 2D FLOOR

REGENCY HOSPITAL OF HATTIESBURG

6051 US HIGHWAY 49 5TH FLOOR

ALLEGIANCE SPECIALTY HOSPITAL OF GREENVILLE

300 SOUTH WASHINGTON AVE, 3RD FLOOR

ADVANCED CARE HOSPITAL OF MONTANA

3528 GABEL RD

KINDRED HOSPITAL GREENSBORO

2401 SOUTHSIDE BLVD

LIFECARE HOSPITALS OF NC

1031 NOELL LANE

HIGHSMITH RAINEY MEMORIAL HOSPITAL

150 ROBESON STREET 4TH FLOOR

CAROLINAS CONTINUECARE HOSPITAL AT PINEVILLE

10648 PARK RD, 3RD FL

ASHEVILLE SPECIALTY HOSPITAL

428 BILTMORE AVENUE 4TH FLOOR

SELECT SPECIALTY HOSPITAL DURHAM INC

3643 NORTH ROXBORO ROAD 6TH FLOOR

CAROLINAS CONTINUECARE AT KINGS MOUNTAIN

706 WEST KING STREET 2ND FLOOR

SELECT SPECIALTY HOSPITAL-GREENSBORO

1200 NORTH ELM STREET, 5TH FLOOR

CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY

8800 NORTH TRYON STREET

VIBRA HOSPITAL OF FARGO

5225 23RD AVE S

VIBRA HOSPITAL OF CENTRAL DAKOTAS LLC

1000 18TH STREET NW

MADONNA REHABILITATION SPECIALTY HOSPITAL LINCOLN

5401 SOUTH ST

SELECT SPECIALTY HOSPITAL - OMAHA (CENTRAL CAMPUS)

1870 SOUTH 75TH STREET

SELECT SPECIALTY HOSPITAL - LINCOLN

2300 SOUTH 16TH STREET - 7TH FLOOR

MADONNA REHABILITATION SPECIALTY HOSPITAL OMAHA

17500 BURKE STREET

MATHENY SCHOOL & HOSPITAL, THE

65 HIGHLAND AVENUE

SPECIALTY HOSPITAL OF CENTRAL JERSEY

600 RIVER AVENUE, 4 WEST

CARE ONE AT RARITAN BAY MEDICAL CENTER, LLC

530 NEW BRUNSWICK AVENUE, 2ND FLOOR GREEN

SELECT SPECIALTY HOSPITAL NORTHEAST

96 PARKWAY

KINDRED HOSPITAL NEW JERSEY - MORRIS COUNTY

400 WEST BLACKWELL STREET

ACUITY SPECIALTY HOSPITAL OF SOUTHERN NEW JERSEY

218 SUNSET ROAD

ACUITY SPECIALTY HOSPITAL OF NEW JERSEY

1925 PACIFIC AVENUE 5TH FLOOR

COLUMBUS HOSPITAL LTACH

495 NORTH 13TH STREET

4 of 7

City

YPSILANTI GRAND RAPIDS GRAND RAPIDS WYANDOTTE DETROIT SAGINAW PLAINWELL BATTLE CREEK JACKSON LANSING PONTIAC SAINT PAUL GOLDEN VALLEY SAINT LOUIS SAINT CHARLES KANSAS CITY CAPE GIRARDEAU JOPLIN SPRINGFIELD KANSAS CITY SAINT JOSEPH COLUMBIA JACKSON MERIDIAN GULFPORT MERIDIAN JACKSON VICKSBURG HATTIESBURG GREENVILLE BILLINGS GREENSBORO ROCKY MOUNT FAYETTEVILLE CHARLOTTE ASHEVILLE DURHAM KINGS MOUNTAIN GREENSBORO CHARLOTTE FARGO MANDAN LINCOLN OMAHA LINCOLN OMAHA PEAPACK LAKEWOOD PERTH AMBOY ROCHELLE PARK DOVER WILLINGBORO ATLANTIC CITY NEWARK

State

MI MI MI MI MI MI MI MI MI MI MI MN MN MO MO MO MO MO MO MO MO MO MS MS MS MS MS MS MS MS MT NC NC NC NC NC NC NC NC NC ND ND NE NE NE NE NJ NJ NJ NJ NJ NJ NJ NJ

ZIP

48197 49503 49506 48192 48235 48602 49080 49016 49202 48912 48342 55103 55422 63108 63301 64132 63701 64804 65804 64118 64506 65201 39202 39301 39501 39301 39211 39180 39404 38701 59102 27406 27804 28301 28210 28802 27704 28086 27401 28262 58104 58554 68506 68124 68502 68118 07977 08701 08861 07662 07801 08046 08401 07107

CCN

322002 322003 322004 292002 292003 292004 292006 292007 292008 332008 362004 362007 362014 362016 362019 362020 362022 362023 362024 362026 362027 362028 362029 362031 362032 362033 362035 362036 362037 362038 362039 372004 372005 372007 372009 372012 372018 372019 372022 382004 392024 392025 392027 392028 392031 392033 392036 392037 392038 392039 392043 392044 392045 392046

LTCHs That Successfully Met QRP Reporting Requirements for APU FY2019

LTCH Name

Address

KINDRED HOSPITAL ALBUQUERQUE

700 HIGH STREET NE

ALBUQUERQUE - AMG SPECIALTY HOSPITAL, LLC

5400 GIBSON BLVD SE 3RD FLOOR

ADVANCED CARE HOSPITAL OF SOUTHERN NEW MEXICO LLC

4451 EAST LOHMAN AVENUE

KINDRED HOSPITAL - LAS VEGAS (SAHARA CAMPUS)

5110 W SAHARA AVE

HORIZON SPECIALTY HOSPITAL

640 S MARTIN LUTHER KING BLVD

TAHOE PACIFIC HOSPITAL - MEADOWS

10101 DOUBLE R BLVD-1ST FLOOR

COMPLEX CARE HOSPITAL AT TENAYA

2500 TENAYA WAY

LAS VEGAS-AMG SPECIALTY HOSPITAL

4015 SOUTH MCLEOD

CARSON TAHOE CONTINUING CARE HOSPITAL

775 FLEISCHMANN WAY 2ND FLR

HENRY J CARTER SPECIALTY HOSPITAL

1752 PARK AVENUE

DRAKE CENTER INC

151 WEST GALBRAITH ROAD

EDEN SPRINGS HEALTHCARE CENTER LLC

401 NORTH BROADWAY STREET

HEATHER HILL CARE COMMUNITIES

12340 BASS LAKE ROAD

SELECT SPECIALTY HOSPITAL-NORTHEAST OHIO, INC

1320 MERCY DRIVE, 6TH FLOOR

SELECT SPECIALTY HOSPITAL-CINCINNATI, INC

375 DIXMYTH AVE, 15TH FLOOR

KINDRED HOSPITAL LIMA

730 W MARKET ST

SELECT SPECIALTY HOSPITAL-COLUMBUS, INC

1087 DENNISON AVENUE, 2ND FLOOR

VIBRA HOSPITAL OF MAHONING VALLEY

8049 SOUTH AVENUE

SELECT SPECIALTY HOSPITAL - YOUNGSTOWN

1044 BELMONT AVE

SELECT SPECIALTY HOSPITAL- CLEVELAND FAIRHILL

11900 FAIRHILL ROAD

SELECT SPECIALTY HOSPITAL-AKRON

200 EAST MARKET STREET

LIFE CARE HOSPITALS OF DAYTON

4000 MIAMISBURG-CENTERVILLE ROAD

REGENCY HOSPITAL OF CLEVELAND EAST

4200 INTERCHANGE CORPORATE CENTER ROAD

SELECT SPECIALTY HOSPITAL SOUTHEAST OHIO

200 TAMARACK ROAD, 2ND FLOOR

ACUTE CARE SPECIALTY HOSPITAL - AULTMAN

2000 SIXTH STREET

KINDRED HOSPITALS-DAYTON

707 EAST EDWIN C MOSES BLVD

ACUITY SPECIALTY HOSPITAL OHIO VALLEY

4697 HARRISON STREET, 2ND FLOOR

REGENCY HOSPITAL OF TOLEDO

5220 WEST ALEXIS ROAD

SELECT SPECIALTY HOSPITAL COLUMBUS

1430 SOUTH HIGH STREET

ADVANCED SPECIALTY HOSPITAL OF TOLEDO

1015 GARDEN LAKE PARKWAY

LIFE LINE HOSPITAL

200 SCHOOL STREET

CURAHEALTH OKLAHOMA

1407 NORTH ROBINSON AVENUE

EDMOND - AMG SPECIALTY HOSPITAL

1100 EAST 9TH STREET

SELECT SPECIALTY HOSPITAL - TULSA/MIDTOWN, LLC

1125 SOUTH TRENTON, 2ND & 3RD FLOOR

SELECT SPECIALTY HOSPITAL - OKLAHOMA CITY, INC

3524 NORTHWEST 56TH STREET

INSPIRE SPECIALTY HOSPITAL

8210 NATIONAL AVENUE

PAM SPECIALTY HOSPITAL OF TULSA

3219 SOUTH 79TH EAST AVENUE

CHG CORNERSTONE HOSPITAL OF OKLAHOMA - SHAWNEE

1900 GORDON COOPER DRIVE, 2ND FLOOR

CORNERSTONE HOSPITAL OF OKLAHOMA- MUSKOGEE

351 SOUTH 40TH STREET

VIBRA SPECIALTY HOSPITAL OF PORTLAND

10300 NE HANCOCK STREET

LIFECARE HOSPITALS OF PITTSBURGH

225 PENN AVENUE

PAM SPECIALTY HOSPITAL OF WILKES-BARRE

575 NORTH RIVER STREET, 7TH FLOOR

KINDRED HOSPITAL PHILADELPHIA

6129 PALMETTO STREET

CURAHEALTH PITTSBURGH

7777 STEUBENVILLE PIKE

SELECT SPECIALTY HOSPITAL - JOHNSTOWN

320 MAIN STREET

GOOD SHEPHERD SPECIALTY HOSPITAL

2545 SCHOENERSVILLE ROAD

SELECT SPECIALTY HOSPITAL LAUREL HIGHLANDS INC

ONE MELLON WAY

SELECT SPECIALTY HOSPITAL - ERIE

252 WEST 11TH STREET

LIFECARE HOSPITALS OF MECHANICSBURG

4950 WILSON LANE

SELECT SPECIALTY HOSPITAL - CENTRAL PA (CAMP HILL)

503 NORTH 21ST STREET, FIFTH FLOOR

CURAHEALTH HERITAGE VALLEY

1000 DUTCH RIDGE ROAD

SELECT SPECIALTY HOSPITAL - PITTSBURGH/UPMC

200 LOTHROP STREET, MUH E824

SELECT SPECIALTY HOSPITAL - MCKEESPORT, INC

1500 FIFTH AVENUE

KINDRED HOSPITAL SOUTH PHILADELPHIA

1930 SOUTH BROAD STREET UNIT #12

5 of 7

City

ALBUQUERQUE ALBUQUERQUE LAS CRUCES LAS VEGAS LAS VEGAS RENO LAS VEGAS LAS VEGAS CARSON CITY NEW YORK CINCINNATI GREEN SPRINGS CHARDON CANTON CINCINNATI LIMA COLUMBUS BOARDMAN YOUNGSTOWN CLEVELAND AKRON MIAMISBURG WARRENSVILLE HTS NEWARK CANTON DAYTON BELLAIRE SYLVANIA COLUMBUS TOLEDO WINTERSVILLE OKLAHOMA CITY EDMOND TULSA OKLAHOMA CITY MIDWEST CITY TULSA SHAWNEE MUSKOGEE PORTLAND PITTSBURGH WILKES-BARRE LAWNCREST OAKDALE JOHNSTOWN BETHLEHEM LATROBE ERIE MECHANICSBURG CAMP HILL BEAVER PITTSBURGH MC KEESPORT PHILADELPHIA

State

NM NM NM NV NV NV NV NV NV NY OH OH OH OH OH OH OH OH OH OH OH OH OH OH OH OH OH OH OH OH OH OK OK OK OK OK OK OK OK OR PA PA PA PA PA PA PA PA PA PA PA PA PA PA

ZIP

87102 87108 88011 89146 89106 89521 89128 89121 89703 10035 45216 44836 44024 44708 45220 45801 43201 44512 44501 44120 44308 45342 44128 43055 44710 45417 43906 43560 43207 43614 43953 73103 73034 74120 73112 73110 74145 74801 74401 97220 15221 18764 19111 15071 15901 18017 15650 16501 17055 17011 15009 15213 15132 19145

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