THATCHER BROOK REHABILITATION AND CARE CENTER LLC
NPI 1649454703
Nursing Facility/Intermediate Care Facility in Clearfield, UT
NPI Status: Active since December 26, 2007
Contact Information
1795 CHELEMES WAY
CLEARFIELD, UT
ZIP 84015
Phone: (801) 614-5700
Fax: (801) 614-5750
- Organization
- Nursing Facility/Intermediate Care Facil...
- Accepts Insurance
- CLIA Number: 46D1083190
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 12-27-2026
About THATCHER BROOK REHABILITATION AND CARE CENTER LLC
This page provides the complete NPI Profile along with additional information for Thatcher Brook Rehabilitation And Care Center Llc, a provider established in Clearfield, Utah operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1649454703 assigned on December 2007. The practitioner's primary taxonomy code is 313M00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Deven B Pettit (Administrator/owner)
- NPI
- 1649454703
- Provider Name
- THATCHER BROOK REHABILITATION AND CARE CENTER LLC
- Entity Type
- Organization
- Location Address
- 1795 CHELEMES WAY CLEARFIELD, UT 84015
- Location Phone
- (801) 614-5700
- Location Fax
- (801) 614-5750
- Mailing Address
- PO BOX 160528 CLEARFIELD, UT 84016
- Mailing Phone
- (801) 614-5700
- Mailing Fax
- (801) 614-5750
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-26-2007
- Last Update Date
- 02-10-2015
- 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
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Value Benchmark Expanded Bronze Select Copay Plan - HMO
- Value Benchmark Gold Standardized Plan - HMO
- Value Benchmark Platinum - HMO
- Value Benchmark Platinum Standardized Plan - HMO
- Value Benchmark Silver 5900 Medical Deductible - HMO
- Value Benchmark Silver Standardized Plan - HMO
- Value Expanded Bronze 6900 Medical Deductible - HMO
- Value Gold 1500 Medical Deductible - HMO
- Value Silver 3000 Medical Deductible - HMO
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 |
|---|---|---|---|
| 465169 | MEDICARE OSCAR/CERTIFICATION (06) | UT | |
| 465169 | MEDICARE PIN (08) | UT |
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
- 46D1083190
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- December 28, 2024
- Certificate Expiration Date
- December 27, 2026
- Laboratory Director
- DEVEN B. PETTIT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Thatcher Brook Rehabilitation And Care Center 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.
Reviews for THATCHER BROOK REHABILITATION AND CARE CENTER LLC
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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 | 6 | 4 | 9 | 4 | 5 | 4 | 7 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 8 | 5 | 8 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 8 + 5 + 8 + 7 + 0 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1649454703 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 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760570766 | ADULT HOME CARE BY HORIZON Organization | Health Maintenance Organization | 1795 CHELEMES WAY CLEARFIELD, UT 84015 (801) 546-4368 |
| 1326210832 | THATCHER BROOK HOSPICE, LLC Organization | Hospice Care, Community Based | 1795 CHELEMES WAY CLEARFIELD, UT 84015 (801) 546-4368 |
| 1053638924 | CASCADE SPRINGS HOME HEALTHCARE Organization | Home Health | 1795 CHELEMES WAY CLEARFIELD, UT 84015 (801) 546-4368 |
| 1821374117 | CASCADE SPRINGS HOME HEALTH & HOSPICE, LLC Organization | Hospice Care, Community Based | 1795 CHELEMES WAY CLEARFIELD, UT 84015 (801) 614-5700 |
| 1073706487 | THATCHER BROOK MEDICAL SUPPLY INC. Organization | Durable Medical Equipment & Medical Supplies | 1795 CHELEMES WAY CLEARFIELD, UT 84015 (801) 546-4368 |
| 1740962422 | JAKIE TONER MOTR/L Individual | Occupational Therapist | 1795 CHELEMES WAY CLEARFIELD, UT 84015 (801) 614-5700 |
| 1316721285 | THATCHER BROOK OUTPATIENT THERAPY LLC Organization | Clinic/Center (Physical Therapy) | 1795 CHELEMES WAY CLEARFIELD, UT 84015 (801) 614-5700 |
| 1215773288 | SIENA PODGORNY OT Individual | Occupational Therapist | 1795 CHELEMES WAY CLEARFIELD, UT 84015 (801) 614-5700 |
| 1093606865 | JASMINE SLONE DPT Individual | Physical Therapist | 1795 CHELEMES WAY CLEARFIELD, UT 84015 (801) 614-5700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649454703, enumerated in the NPI registry as an "organization" on December 26, 2007
The provider is located at 1795 Chelemes Way Clearfield, Ut 84015 and the phone number is (801) 614-5700
This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X
The provider might be accepting Accepts: Aetna CVS Health, Select Health, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 46D1083190 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 December 26, 2007. 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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