CENTRE CREST
NPI 1548602964
Nursing Facility/Intermediate Care Facility in Bellefonte, PA
NPI Status: Active since July 26, 2013
Contact Information
502 E HOWARD ST
BELLEFONTE, PA
ZIP 16823
Phone: (814) 355-6777
- Organization
- Nursing Facility/Intermediate Care Facil...
- CLIA Number: 39D0901195
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 05-17-2027
About CENTRE CREST
This page provides the complete NPI Profile along with additional information for Centre Crest, a provider established in Bellefonte, Pennsylvania operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1548602964 assigned on July 2013. The practitioner's primary taxonomy code is 313M00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Centre Crest. The authorized official of this NPI record is Mr. Carl Raup (Secretary/treasurer)
- NPI
- 1548602964
- Provider Legal Name
- CENTRE CARE, INC.
- Other Organization Name
- CENTRE CREST
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 502 E HOWARD ST BELLEFONTE, PA 16823
- Location Phone
- (814) 355-6777
- Mailing Address
- 502 E HOWARD ST BELLEFONTE, PA 16823
- Mailing Phone
- (814) 355-6777
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-26-2013
- Last Update Date
- 07-26-2013
- 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
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- License State
- PA
- Taxonomy Description
- An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 314000000X | Nursing & Custodial Care Facilities | Skilled Nursing Facility | (PA) |
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
- 39D0901195
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- May 18, 2025
- Certificate Expiration Date
- May 17, 2027
- Laboratory Director
- DR. DENNIS A. SHANNON III
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Centre Crest 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.
Reviews for CENTRE CREST
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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 | 5 | 4 | 8 | 6 | 0 | 2 | 9 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 12 | 0 | 4 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 1 + 2 + 0 + 4 + 9 + 1 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1548602964 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972027712 | DAVE ALLAN JAY HO ANCHETA PT Individual | Physical Therapist | 502 E HOWARD ST BELLEFONTE, PA 16823 (814) 355-6884 |
| 1205323375 | JERRIKA HOOVEN Individual | Occupational Therapist | 502 E HOWARD ST BELLEFONTE, PA 16823 (814) 355-6777 |
| 1639558117 | MRS. KAYLA NICOLE QUIGGLE Individual | Speech-Language Pathologist | 502 E HOWARD ST BELLEFONTE, PA 16823 (814) 355-6884 |
| 1477111706 | BARBARA ELLEN MCGRAW PT, DPT Individual | Physical Therapist | 502 E HOWARD ST BELLEFONTE, PA 16823 (607) 239-7915 |
| 1043216351 | CENTRE CREST Organization | Skilled Nursing Facility | 502 E HOWARD ST BELLEFONTE, PA 16823 (814) 355-6777 |
| 1245366137 | CENTRE CREST PHARMACY Organization | Pharmacy (Long Term Care Pharmacy) | 502 E HOWARD ST BELLEFONTE, PA 16823 (814) 355-6890 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548602964, enumerated in the NPI registry as an "organization" on July 26, 2013
The provider is located at 502 E Howard St Bellefonte, Pa 16823 and the phone number is (814) 355-6777
This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X
The provider's CLIA number is 39D0901195 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 July 26, 2013. 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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