JASPER SNF OPCO LLC
NPI 1013798644
Skilled Nursing Facility in Jasper, IN

NPI Status: Active since October 10, 2023

Contact Information

2515 NEWTON ST
JASPER, IN
ZIP 47546
Phone: (718) 570-6018

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 15D2239806
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 10-13-2027

About JASPER SNF OPCO LLC

This page provides the complete NPI Profile along with additional information for Jasper Snf Opco Llc, a provider established in Jasper, Indiana operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1013798644 assigned on October 2023. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Daniel Mandelbaum Cpa (Cfo)

NPI
1013798644
Provider Name
JASPER SNF OPCO LLC
Entity Type
Organization
Location Address
2515 NEWTON ST JASPER, IN 47546
Location Phone
(718) 570-6018
Mailing Address
C/O CONTINUUM HEALTHCARE 180 SYLVAN AVENUE ENGLEWOOD CLIFFS, NJ 07632
Mailing Phone
(718) 570-6018
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2023
Last Update Date
10-10-2023
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(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.

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

DANIEL MANDELBAUM CPA

Authorized Official Title
CFO
Authorized Official Phone
(718) 570-6018

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
15D2239806
Facility Type
Federally Qualified Health Center
Certificate Effective Date
October 14, 2025
Certificate Expiration Date
October 13, 2027
Laboratory Director
DR. ERIC YAZEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jasper Snf Opco 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013798644, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 1 + 4 + 9 + 1 + 6 + 6 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1013798644.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physical Therapy Assistant
2515 NEWTON ST
JASPER, IN 47546
Physical Therapist
2515 NEWTON ST
JASPER, IN 47546
Speech-Language Pathologist
2515 NEWTON ST
JASPER, IN 47546
Speech-Language Pathologist
2515 NEWTON ST
JASPER, IN 47546
Non-emergency Medical Transport (VAN)
2515 NEWTON ST
JASPER, IN 47546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013798644, enumerated as an "organization" on October 10, 2023.

The provider is located at 2515 NEWTON ST JASPER, IN 47546 and the phone number is (718) 570-6018.

Skilled Nursing Facility with taxonomy code 314000000X.