LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER
NPI 1295767333
Long Term Care Hospital in Berrien Center, MI
NPI Status: Active since July 07, 2006
Contact Information
6418 DEANS HILL RD
BERRIEN CENTER, MI
ZIP 49102
Phone: (269) 473-3003
Fax: (269) 473-3010
- Organization
- Long Term Care Hospital
- CLIA Number: 23D2227366
- CLIA Cert. Type: Health Fair
- CLIA Exp. Date: 06-10-2025
About LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER
This page provides the complete NPI Profile along with additional information for Lakeland Specialty Hospital At Berrien Center, a provider established in Berrien Center, Michigan operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1295767333 assigned on July 2006. The practitioner's primary taxonomy code is 282E00000X with license number 110080 (MI). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Tim Calhoun (Cfo/vp Of Finance)
- NPI
- 1295767333
- Provider Name
- LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER
- Entity Type
- Organization
- Location Address
- 6418 DEANS HILL RD BERRIEN CENTER, MI 49102
- Location Phone
- (269) 473-3003
- Location Fax
- (269) 473-3010
- Mailing Address
- PO BOX 800 SAINT JOSEPH, MI 49085
- Mailing Phone
- (269) 428-2574
- Mailing Fax
- (269) 473-3010
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-07-2006
- Last Update Date
- 06-03-2008
- 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
Long Term Care Hospital
- Taxonomy Code
- 282E00000X
- Type
- Hospitals
- License No.
- 110080
- License State
- MI
- 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:
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 |
|---|---|---|---|
| 232025 | MEDICARE OSCAR/CERTIFICATION (06) | ||
| 4172264 | MEDICAID (05) | MI | |
| 00323 | OTHER (01) | BLUE CROSS | |
| 4172246 | MEDICAID (05) | MI |
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
- 23D2227366
- Facility Type
- Health Fair
- Certificate Effective Date
- June 11, 2023
- Certificate Expiration Date
- June 10, 2025
- Laboratory Director
- CHRISTOPHER HARVEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lakeland Specialty Hospital At Berrien Center 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 | 2 | 9 | 5 | 7 | 6 | 7 | 3 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 14 | 6 | 14 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 1 + 4 + 6 + 1 + 4 + 3 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1295767333 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1285651760 | LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER Organization | Skilled Nursing Facility | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 473-3003 |
| 1073743217 | KAREN JOY KNAUSS RD Individual | Dietitian, Registered | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 473-3194 |
| 1790915932 | LAURA MARIE LANDREY R.D. Individual | Dietitian, Registered | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 471-7761 |
| 1154739597 | TRICIA NEWLAND JOHNSON L.M.S.W Individual | Social Worker (Clinical) | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 815-5505 |
| 1639550775 | JON WEBER MASTER SOCIAL WORK Individual | Social Worker (Clinical) | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 815-5500 |
| 1518341221 | BEACON SPECIALIZED LIVING SERVICES INC Organization | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 6418 DEANS HILL RD STE 2 BERRIEN CENTER, MI 49102 (269) 427-8400 |
| 1639540289 | KIMBERLY ANNE DEFIELDS BAY L.L.M.S.W. Individual | Social Worker (Clinical) | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 815-5500 |
| 1467804104 | MRS. MICHELLE JOHNSON-MASTIN Individual | Psychologist (Clinical) | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 815-5500 |
| 1467907477 | AMBER LYNN OLANDO Individual | Peer Specialist | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 815-5500 |
| 1770094583 | MRS. BRANDY RENEE REHMEL MSW Individual | Social Worker | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 815-5500 |
| 1497262752 | MR. JAMES ALLEN PANOZZO MA, LPC, CAADC Individual | Counselor (Addiction (Substance Use Disorder)) | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 815-5510 |
| 1841771946 | RYAN ALLEN LUTIN Individual | Peer Specialist | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 815-5500 |
| 1548670391 | SACRED HEART REHABILITATION CENTER, INC Organization | Community/Behavioral Health | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (810) 392-2167 |
| 1477185775 | SARAH MARIE HAYSLIP Individual | Peer Specialist | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 815-5500 |
| 1033105549 | LAKELAND SPECIALTY HOSPITAL Organization | Skilled Nursing Facility | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 473-3003 |
| 1902968084 | LAKELAND PHARMACY BERRIEN Organization | Pharmacy (Institutional Pharmacy) | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 473-3082 |
| 1427717628 | MAYBETTH PATRICIA FERNANDEZ-CAMPOS Individual | Social Worker | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 815-5500 |
| 1386185155 | MARIA GAMEZ Individual | Counselor (Addiction (Substance Use Disorder)) | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 815-5500 |
| 1871243097 | DAHN MULAKO IMASIKU DP-C Individual | Counselor (Addiction (Substance Use Disorder)) | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (269) 815-5500 |
| 1841932217 | NICOLE ANN SAILOR Individual | Counselor (Addiction (Substance Use Disorder)) | 6418 DEANS HILL RD BERRIEN CENTER, MI 49102 (810) 392-2167 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295767333, enumerated in the NPI registry as an "organization" on July 07, 2006
The provider is located at 6418 Deans Hill Rd Berrien Center, Mi 49102 and the phone number is (269) 473-3003
This medical organization specializes in Long Term Care Hospital with taxonomy code 282E00000X
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D2227366 for a "health fair" 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 July 07, 2006. 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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