CENTERBURG TWO, LLC NPI 1083157747
Skilled Nursing Facility in Centerburg, OH

About CENTERBURG TWO, LLC

Centerburg Two, Llc is a provider established in Centerburg, Ohio operating as a Skilled Nursing Facility. The NPI number of Centerburg Two, Llc is 1083157747 and was assigned on November 2016. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Centerburg Respiratory And Specialty Rehab Center. The authorized official of this NPI record is William I Weisberg (President)

NPI
1083157747
Provider NameCENTERBURG TWO, LLC
Location Address212 FAIRVIEW ST CENTERBURG, OH 43011
Location Phone(740) 625-5774
Mailing Address23700 COMMERCE PARK BEACHWOOD, OH 44122
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameCENTERBURG RESPIRATORY AND SPECIALTY REHAB CENTER
Other Name TypeDoing Business As (3)
Enumeration Date11-29-2016
Last Update Date01-10-2022



The CLIA number of Centerburg Two, Llc is 36D0327133 registered as a "skilled nursing/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Centerburg Two, 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.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code314000000X
ClassificationSkilled Nursing Facility
TypeNursing & 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.

Business Address

CENTERBURG TWO, LLC
212 FAIRVIEW ST
CENTERBURG, OH
ZIP 43011
Phone: (740) 625-5774
Fax: (740) 625-7426

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Mailing Address

CENTERBURG TWO, LLC
23700 COMMERCE PARK
BEACHWOOD, OH
ZIP 44122
Phone: (216) 292-5706


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name WILLIAM I WEISBERG
Authorized Official TitlePRESIDENT
Authorized Official Phone(216) 292-5706

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 the NPI number 1083157747 is:

CLIA Number36D0327133
Facility TypeSKILLED NURSING/NURSING FACILITY
Certificate TypeCertificate of Waiver

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.
1083157747
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20163251478
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 2 + 5 + 1 + 4 + 7 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1083157747 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093231458 JULIE WANDTKE
Individual
Physical Therapy Assistant212 FAIRVIEW ST
CENTERBURG, OH 43011
(740) 625-5774
1760908149MR. ROBERTO ESTRELLADO OTR/L, DOR
Individual
Occupational Therapist212 FAIRVIEW ST
CENTERBURG, OH 43011
(740) 625-5774
1407372741 MICHELE LYNN BECKETT CCC-SLP
Individual
Speech-Language Pathologist212 FAIRVIEW ST
CENTERBURG, OH 43011
(740) 625-5774

Frequently Asked Questions

What is CENTERBURG TWO, LLC NPI number?

The NPI number assigned to CENTERBURG TWO, LLC is 1083157747, registered as an "organization" on November 29, 2016

Where is CENTERBURG TWO, LLC located?

The provider is located at 212 Fairview St Centerburg, Oh 43011 and the phone number is (740) 625-5774

What kind of medical provider is CENTERBURG TWO, LLC?

This medical organization specializes in Skilled Nursing Facility

What is CENTERBURG TWO, LLC CLIA number?

The provider's CLIA number is 36D0327133 for a "skilled nursing/nursing 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..

How do I update my NPI information?

The NPI record of CENTERBURG TWO, LLC was last updated on November 29, 2016. 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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