SPRING MEADOW HEALTHCARE LLC
NPI 1073020236
Skilled Nursing Facility in Woodstock, OH
NPI Status: Active since January 09, 2018
- Organization
- Skilled Nursing Facility
- CLIA Number: 36D0945466
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 05-03-2026
About SPRING MEADOW HEALTHCARE LLC
This page provides the complete NPI Profile along with additional information for Spring Meadow Healthcare Llc, a provider established in Woodstock, Ohio operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1073020236 assigned on January 2018. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Paul Bergsten (Managing Member)
- NPI
- 1073020236
- Provider Name
- SPRING MEADOW HEALTHCARE LLC
- Entity Type
- Organization
- Location Address
- 1649 PARK RD WOODSTOCK, OH 43084
- Location Phone
- (937) 825-6622
- Mailing Address
- 544 ENTERPRISE DR LEWIS CENTER, OH 43035
- Mailing Phone
- (937) 825-6622
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-09-2018
- Last Update Date
- 01-09-2018
- Code Navigator
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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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
- 36D0945466
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- May 04, 2024
- Certificate Expiration Date
- May 03, 2026
- Laboratory Director
- PRASANNA MUNIYAPPA MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Spring Meadow Healthcare Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 0 | 7 | 3 | 0 | 2 | 0 | 2 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 0 | 2 | 0 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 0 + 2 + 0 + 2 + 6 + 24 = 44 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 44 = 6 | 6 | ||||||||
The NPI number 1073020236 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770884942 | WOODSTOCK HEALTHCARE GROUP, INC. Organization | Skilled Nursing Facility | 1649 PARK RD WOODSTOCK, OH 43084 (937) 826-3351 |
| 1891894465 | WOODSTOCK CARE CENTER, INC. Organization | Nursing Facility/Intermediate Care Facility | 1649 PARK RD WOODSTOCK, OH 43084 (937) 826-3351 |
| 1558839167 | ALS WOODSTOCK LLC Organization | Skilled Nursing Facility | 1649 PARK RD WOODSTOCK, OH 43084 (937) 826-3351 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073020236, enumerated in the NPI registry as an "organization" on January 09, 2018
The provider is located at 1649 Park Rd Woodstock, Oh 43084 and the phone number is (937) 825-6622
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider's CLIA number is 36D0945466 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 09, 2018. 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].
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