NORTHWEST HEALTH-PORTER
NPI 1154571180
Rehabilitation Unit in Portage, IN

NPI Status: Active since September 26, 2008

Contact Information

3630 WILLOWCREEK RD
PORTAGE, IN
ZIP 46368
Phone: (219) 263-4600

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  • Organization
  • Rehabilitation Unit
  • Accepts Insurance
  • CLIA Number: 15D0670139
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 11-30-2025

About NORTHWEST HEALTH-PORTER

This page provides the complete NPI Profile along with additional information for Northwest Health-porter, a provider established in Portage, Indiana operating as a Rehabilitation Unit. The healthcare provider is registered in the NPI registry with number 1154571180 assigned on September 2008. The practitioner's primary taxonomy code is 273Y00000X with license number 07-0050331 (IN). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Northwest Health-porter. The authorized official of this NPI record is Puala M Lalor (Director/delegated Official)

NPI
1154571180
Provider Legal Name
PORTER HOSPITAL LLC
Other Organization Name
NORTHWEST HEALTH-PORTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3630 WILLOWCREEK RD PORTAGE, IN 46368
Location Phone
(219) 263-4600
Mailing Address
814 LAPORTE AVE VALPARAISO, IN 46383
Mailing Phone
(219) 263-4600
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-26-2008
Last Update Date
04-20-2021
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According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is for profit and was certified on 01-01-2009 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

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

Rehabilitation Unit

Taxonomy Code
273Y00000X
Type
Hospital Units
License No.
07-0050331
License State
IN
Taxonomy Description
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • 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
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - 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
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - 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
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - 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
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PUALA M LALOR

Authorized Official Title
DIRECTOR/DELEGATED OFFICIAL
Authorized Official Phone
(629) 215-3953

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • NORTHWEST HEALTH-PORTER has an ownership type of For profit
  • The facility received it's medicare certification date on 01-01-2009
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions94
Brain disease or condition (non-traumatic)11
Brain injury (traumatic)17
Hip or femur fracture27
Hip or knee replacement, amputation or other bone or joint condition18
Nervous system disorder (excluding stroke)43
Spinal cord disease or condition (non-traumatic)11
Spinal cord injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Stroke64

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
15D0670139
Facility Type
Hospital
Certificate Effective Date
December 01, 2023
Certificate Expiration Date
November 30, 2025
Laboratory Director
JOHN D. FECZKO
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Northwest Health-porter 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 NORTHWEST HEALTH-PORTER

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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.
1154571180
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041072116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 0 + 7 + 2 + 1 + 1 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1154571180 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649213554 MICHAEL M BERMUDEZ MD
Individual
Emergency Medicine3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 364-3000
1245312586ASSOCIATES IN SURGERY, PC
Organization
Surgery3630 WILLOWCREEK RD SUITE 3
PORTAGE, IN 46368
(219) 759-4577
1467510677BAQHAR MOHIDEEN MD, PC
Organization
Internal Medicine (Pulmonary Disease)3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 759-1441
1780742353 BAQHAR MOHIDEEN MD
Individual
Internal Medicine (Pulmonary Disease)3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 759-1441
1457566309PORTER PHYSICIAN SERVICES LLC
Organization
Internal Medicine3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 759-5791
1689841165WOMEN'S MEDICAL CARE LLC
Organization
Obstetrics & Gynecology3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 759-1389
1063668614KOTA MEDICAL PC
Organization
Internal Medicine (Gastroenterology)3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 759-5812
1124452628RANGA KOTA MD, PC
Organization
Internal Medicine (Gastroenterology)3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 759-5812
1033507538ATLANTIC SILVERSIDE EMERGENCY PHYSICIANS LLC
Organization
Emergency Medicine3630 WILLOWCREEK RD
PORTAGE, IN 46368
(469) 401-2386
1316258874DR. SHANE DAVID BUSH M.D.
Individual
Family Medicine3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 364-3700
1336519685 HEATHER BOLAN
Individual
Speech-Language Pathologist3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 364-3000
1346616646PORTER GROUP SERVICES, LLC
Organization
Hospitalist3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 364-3000
1821059148 DONALD SQUIRES DUNEVANT MD
Individual
Family Medicine3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 759-5791
1396383881 JED LEIFSON
Individual
Nurse Anesthetist, Certified Registered3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 364-3000
1558322982PORTER HEALTH SERVICES
Organization
Internal Medicine3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 759-5791
1952469538ASSOCIATED PEDIATRICIANS, LLC
Organization
Specialist3630 WILLOWCREEK RD SUITE 6
PORTAGE, IN 46368
(219) 531-7492
1932145745 RANGA R KOTA M.D.
Individual
Internal Medicine (Gastroenterology)3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 759-5812
1891135620DR. KAJAL PATEL PURANIK M.D.
Individual
Family Medicine3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 364-3700
1366961757MS. CRISTINA LUBASH FNP
Individual
Nurse Practitioner (Family)3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 364-3700
1508411315 CHAD ANTHONY BOGUE NP
Individual
Nurse Practitioner (Family)3630 WILLOWCREEK RD
PORTAGE, IN 46368
(219) 364-3700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154571180, enumerated in the NPI registry as an "organization" on September 26, 2008

The provider is located at 3630 Willowcreek Rd Portage, In 46368 and the phone number is (219) 263-4600

This medical organization specializes in Rehabilitation Unit with taxonomy code 273Y00000X

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Meridian, 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 15D0670139 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 September 26, 2008. 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.