COPPER KNOLL HEALTH AND REHAB LLC
NPI 1013763309
Skilled Nursing Facility in Washington Court House, OH

Active since April 26, 2024CLIA 36D2305858 · Waiver
201 COURTHOUSE PKWY, WASHINGTON COURT HOUSE, OH 43160(740) 895-6101 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Copper Knoll Health And Rehab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COPPER KNOLL HEALTH AND REHAB LLC (NPI 1013763309), doing business as Copper Knoll Health And Rehab, is a healthcare organization registered as a skilled nursing facility in Washington Court House, Ohio and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through June 6, 2028 and lists Cullen Scott Gibson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1013763309
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOPPER KNOLL HEALTH AND REHAB LLC
Location Address201 COURTHOUSE PKWYWashington Court House, OH 43160-6001
Mailing Address1800 N Wabash RdMarion, IN 46952-1300 · (765) 664-5400 · Fax (765) 568-7182
Organization SubpartNo
Authorized OfficialCullen Scott GibsonVice President · (765) 664-5400
Enumeration DateApril 26, 2024
NPPES CertifiedApril 26, 2024
NPI 1013763309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
201 COURTHOUSE PKWY, Washington Court House, OH 43160

Other Names 1

Doing Business AsCopper Knoll Health And Rehab

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2305858

Copper Knoll Health And Rehab LLC · Washington Court House, OH
Active · expires Jun 6, 2028
CLIA Number36D2305858
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorKaleena Patton
Laboratory Phone(740) 895-6101
Laboratory LocationCopper Knoll Health And Rehab LLC201 Court House Parkway, Washington Court House, OH 43160
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rehabilitation)
201 COURTHOUSE PKWY
WASHINGTON COURT HOUSE, OH 43160

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Copper Knoll Health And Rehab LLC's NPI number?

The NPI number for Copper Knoll Health And Rehab LLC is 1013763309. It was assigned to this organization in the NPPES registry on April 26, 2024. The provider is doing business as Copper Knoll Health And Rehab.

Where is Copper Knoll Health And Rehab LLC located?

Copper Knoll Health And Rehab LLC is located at 201 Courthouse Pkwy, Washington Court House, OH 43160. The listed phone number is (740) 895-6101.

What is Copper Knoll Health And Rehab LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Copper Knoll Health And Rehab LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2305858) is associated with this NPI, valid through June 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Copper Knoll Health And Rehab LLC was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.