CUSTOM REHAB OF SOUTH TEXAS, INC.
NPI 1700930633
Durable Medical Equipment & Medical Supplies - Customized Equipment in Needville, TX
NPI Status: Active since January 22, 2007
Contact Information
12907 HIGHWAY 36
NEEDVILLE, TX
ZIP 77461
Phone: (979) 793-7570
Fax: (979) 793-5540
- Organization
- Durable Medical Equipment & Medical Supp...
- Customized Equipment
About CUSTOM REHAB OF SOUTH TEXAS, INC.
This page provides the complete NPI Profile along with additional information for Custom Rehab Of South Texas, Inc., a provider established in Needville, Texas operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1700930633 assigned on January 2007. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mrs. Lorena Matthiesen (President)
- NPI
- 1700930633
- Provider Name
- CUSTOM REHAB OF SOUTH TEXAS, INC.
- Entity Type
- Organization
- Location Address
- 12907 HIGHWAY 36 NEEDVILLE, TX 77461
- Location Phone
- (979) 793-7570
- Location Fax
- (979) 793-5540
- Mailing Address
- PO BOX 467 NEEDVILLE, TX 77461
- Mailing Phone
- (979) 793-7570
- Mailing Fax
- (979) 793-5540
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-22-2007
- Last Update Date
- 07-07-2011
- 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
Durable Medical Equipment & Medical Supplies Customized Equipment
- Taxonomy Code
- 332BC3200X
- Type
- Suppliers
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 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
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.
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 |
|---|---|---|---|
| 519066 | OTHER (01) | TX | BLUE CROSS BLUE SHIELD |
| 010008301 | MEDICAID (05) | TX | |
| 0908380001 | MEDICARE NSC (07) | TX | |
| 10023796 | OTHER (01) | TX | AMERIGROUP PROVIDER # |
| 011390401 | MEDICAID (05) | TX |
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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 | 7 | 0 | 0 | 9 | 3 | 0 | 6 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 18 | 3 | 0 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 8 + 3 + 0 + 6 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1700930633 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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154618866 | DANIEL RAYMOND MATTHIESEN Individual | Technician, Other | 12907 HIGHWAY 36 NEEDVILLE, TX 77461 (979) 793-7570 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700930633, enumerated in the NPI registry as an "organization" on January 22, 2007
The provider is located at 12907 Highway 36 Needville, Tx 77461 and the phone number is (979) 793-7570
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X with a focus in Customized Equipment
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 22, 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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