BETH SHOLOM REHABILITATION CLINIC
NPI 1760579932
Clinic/Center in Richmond, VA

NPI Status: Active since October 06, 2006

Contact Information

2700 LAUDERDALE DR
RICHMOND, VA
ZIP 23238
Phone: (804) 421-5250
Fax: (804) 421-5251

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  • Organization
  • Clinic/Center
  • CLIA Number: 49D2200471
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 11-15-2026

About BETH SHOLOM REHABILITATION CLINIC

This page provides the complete NPI Profile along with additional information for Beth Sholom Rehabilitation Clinic, a provider established in Richmond, Virginia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1760579932 assigned on October 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. John V Bellotti (Cfo)

NPI
1760579932
Provider Name
BETH SHOLOM REHABILITATION CLINIC
Entity Type
Organization
Location Address
2700 LAUDERDALE DR RICHMOND, VA 23238
Location Phone
(804) 421-5250
Location Fax
(804) 421-5251
Mailing Address
1600 JOHN ROLFE PKWY RICHMOND, VA 23238
Mailing Phone
(804) 421-5352
Mailing Fax
(804) 421-5251
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2006
Last Update Date
08-22-2020
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

MR. JOHN V BELLOTTI

Authorized Official Title
CFO
Authorized Official Phone
(804) 421-5352

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
49D2200471
Facility Type
Assisted Living Facility
Certificate Effective Date
November 16, 2024
Certificate Expiration Date
November 15, 2026
Laboratory Director
TIFFANY COUGHLIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Beth Sholom Rehabilitation Clinic 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.
1760579932
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271201071896
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 0 + 7 + 1 + 8 + 9 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1760579932 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760579932, enumerated in the NPI registry as an "organization" on October 06, 2006

The provider is located at 2700 Lauderdale Dr Richmond, Va 23238 and the phone number is (804) 421-5250

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider's CLIA number is 49D2200471 for a "assisted living 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 October 06, 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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