REHAB WITHOUT WALLS NEUROSOLUTIONS
NPI 1962916692
Residential Treatment Facility, Physical Disabilities in Holly, MI
NPI Status: Active since November 16, 2017
- Organization
- Residential Treatment Facility, Physical...
- CLIA Number: 23D2283248
- CLIA Cert. Type: Other - RESIDENTIAL ADULT FOSTER
- CLIA Exp. Date: 06-04-2027
About REHAB WITHOUT WALLS NEUROSOLUTIONS
This page provides the complete NPI Profile along with additional information for Rehab Without Walls Neurosolutions, a provider established in Holly, Michigan operating as a Residential Treatment Facility, Physical Disabilities. The healthcare provider is registered in the NPI registry with number 1962916692 assigned on November 2017. The practitioner's primary taxonomy code is 320700000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Rehab Without Walls Neurosolutions. The authorized official of this NPI record is Ms. Margaret Sherry Pemberton (Vice President)
- NPI
- 1962916692
- Provider Legal Name
- DIXIE LODGE, LLC
- Other Organization Name
- REHAB WITHOUT WALLS NEUROSOLUTIONS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 10483 DIXIE HWY HOLLY, MI 48442
- Location Phone
- (810) 866-4277
- Mailing Address
- 805 N WHITTINGTON PKWY LOUISVILLE, KY 40222
- Mailing Phone
- (800) 866-0860
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-16-2017
- Last Update Date
- 05-22-2023
- 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
Residential Treatment Facility, Physical Disabilities
- Taxonomy Code
- 320700000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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 | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility |
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
- 23D2283248
- Facility Type
- Other - RESIDENTIAL ADULT FOSTER
- Certificate Effective Date
- June 05, 2025
- Certificate Expiration Date
- June 04, 2027
- Laboratory Director
- RITA M. DOSS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Rehab Without Walls Neurosolutions 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 | 9 | 6 | 2 | 9 | 1 | 6 | 6 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 18 | 1 | 12 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 1 + 8 + 1 + 1 + 2 + 6 + 1 + 8 + 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 = 2 | 2 | ||||||||
The NPI number 1962916692 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1326551201 | MARRISSA TACKETT Individual | Recreation Therapist | 10483 DIXIE HWY HOLLY, MI 48442 (734) 657-2054 |
| 1487075669 | DR. NICHOLAS HEIBY MONDAY DPT Individual | Physical Therapist | 10483 DIXIE HWY HOLLY, MI 48442 (810) 771-7676 |
| 1679063267 | CASEY POLTERAITIS MA, CCC-SLP Individual | Speech-Language Pathologist | 10483 DIXIE HWY HOLLY, MI 48442 (810) 771-7686 |
| 1063914646 | HEATHER HEPPER PT, DPT Individual | Physical Therapist | 10483 DIXIE HWY HOLLY, MI 48442 (810) 771-7686 |
| 1275184145 | ERIN UEHARA Individual | Physical Therapist | 10483 DIXIE HWY HOLLY, MI 48442 (810) 771-7686 |
| 1720622863 | RACHAEL FOX Individual | Occupational Therapist | 10483 DIXIE HWY HOLLY, MI 48442 (810) 771-7686 |
| 1942845581 | DR. ALICIA ANN GILLMAN WARRICK DPT Individual | Physical Therapist | 10483 DIXIE HWY HOLLY, MI 48442 (810) 771-7686 |
| 1407491731 | DANIEL PILLIVANT Individual | Physical Therapist | 10483 DIXIE HWY HOLLY, MI 48442 (810) 771-7686 |
| 1851930960 | ANDREA MEADOR Individual | Occupational Therapist | 10483 DIXIE HWY HOLLY, MI 48442 (517) 546-9000 |
| 1952686065 | AMY CHRISTINE SELBY PT Individual | Physical Therapist | 10483 DIXIE HWY HOLLY, MI 48442 (810) 771-7686 |
| 1275119596 | MEGAN ANTAYA BUDDEN OTR/L Individual | Occupational Therapist | 10483 DIXIE HWY HOLLY, MI 48442 (810) 498-2301 |
| 1437881794 | DESIREE LEAPHEART Individual | Physical Therapist | 10483 DIXIE HWY HOLLY, MI 48442 (517) 402-4704 |
| 1558083089 | OLIVIA STEELE PT, DPT, AT, ATC Individual | Physical Therapist | 10483 DIXIE HWY HOLLY, MI 48442 (810) 498-2301 |
| 1417640129 | KELSEY PAUL DPT, PT Individual | Physical Therapist | 10483 DIXIE HWY HOLLY, MI 48442 (810) 771-7686 |
| 1033892328 | ANNA MARIE BRADLEY PT, DPT Individual | Physical Therapist | 10483 DIXIE HWY HOLLY, MI 48442 (810) 771-7686 |
| 1427838127 | LEVEL 11 PHYSICAL THERAPY Organization | Clinic/Center (Rehabilitation) | 10483 DIXIE HWY HOLLY, MI 48442 (810) 771-7686 |
| 1730317785 | LEVEL 11 PHYSICAL THERAPY Organization | Clinic/Center (Rehabilitation) | 10483 DIXIE HWY HOLLY, MI 48442 (810) 771-7686 |
| 1124658042 | TERESA RENEE FINNIGAN Individual | Speech-Language Pathologist | 10483 DIXIE HWY HOLLY, MI 48442 (810) 771-7685 |
| 1235746249 | KAITLYN LANDESS OTD, OTR/L Individual | Occupational Therapist | 10483 DIXIE HWY HOLLY, MI 48442 (810) 771-7686 |
| 1841020781 | LAUREN ALYSSA SAWLE PT, DPT Individual | Physical Therapist | 10483 DIXIE HWY HOLLY, MI 48442 (810) 771-7686 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962916692, enumerated in the NPI registry as an "organization" on November 16, 2017
The provider is located at 10483 Dixie Hwy Holly, Mi 48442 and the phone number is (810) 866-4277
This medical organization specializes in Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X
The provider's CLIA number is 23D2283248 for a "other - residential adult foster" 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 November 16, 2017. 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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